| NPI | 1518838044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEION BROADNAX Executive Officer 706-887-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2026-09-13 |