| 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 |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 310400000X Assisted Living Facility | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |