| NPI | 1457869141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MANDIBAYA Administrator 404-333-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 067-R-1905) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |