NPI | 1558616946 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH C. DURU Administrator 678-698-0731 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: GA 110-R-0812) |
Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 110-R-0812) |
253Z00000X In Home Supportive Care (Licence: GA 110-R-0812) | |
Enumeration Date | 2012-07-21 |
Last Update Date | 2018-01-28 |