| NPI | 1548512726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D WIDEMAN Managing Member 678-396-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |