| NPI | 1568733632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA I AGAZIE RN BSN CMSRN Adminstrator 770-716-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 031R0903) |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WC1500X Registered Nurse, Community Health | |
| 163WH0200X Registered Nurse, Home Health | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: GA CLAa001000) | |
| 253Z00000X In Home Supportive Care (Licence: GA 031-R-0903) | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care (Licence: GA 031-R-0903) | |
| 251S00000X Community/Behavioral Health (Licence: GA CLAa001000) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: GA CLAa001000) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2025-06-11 |