NPI | 1457563207 |
---|---|
Doing Business As | H2O UNLIMITED |
Entity Type | Organization |
Authorized Contact | ROBERT WILSON DELOATCH Owner 404-349-3049 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 62419) |
Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: GA 62419) |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: GA 62419) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-08-22 |