| NPI | 1497365340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUATINA WILLIS Administrator 470-914-9457 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-03-23 |