| NPI | 1427729318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUDELKY TEREZA BENTLEY Practice Owner 470-878-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-05-03 |