| NPI | 1447770482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CRYSTAL DORSEY Owner 706-940-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 044-R-1759) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |