| NPI | 1487935672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE DELORIS POTTS Owner/Administrator 912-367-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 001-346-H) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2012-03-16 |