NPI | 1477674125 |
---|---|
Entity Type | Organization |
Authorized Contact | FELISA ANN DUDLEY Administrator 678-625-7166 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: GA 079-R-0001) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2009-07-10 |