| NPI | 1457970626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA MARTIN Administrator 478-461-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 225700000X Massage Therapist | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 332U00000X Home Delivered Meals | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-08-05 |