| NPI | 1467299420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA AIKEN Owner/Operator 678-593-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 342000000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-11 |