| NPI | 1528593787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDELLE L MILLER Clinical Director 678-298-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA 002971) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA 002971) |
| 251E00000X Home Health (Licence: GA 002971) | |
| 251K00000X Public Health or Welfare (Licence: GA 002971) | |
| 253Z00000X In Home Supportive Care (Licence: GA 002971) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |