| NPI | 1467997452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONIKA BLAKE Administrator/Owner 912-354-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 025-R-1181) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |