| NPI | 1437382868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUVARA PRUDHOMME MCCOREY Operations Manager 678-690-8544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 081637) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA 081637) |
| 343800000X Secured Medical Transport (VAN) (Licence: GA 081637) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 081637) | |
| 347C00000X Private Vehicle (Licence: GA 081637) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |