| NPI | 1588176192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WONDOLYN CRITTENDEN Owner 470-246-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 060-R-1619) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: GA 060-R-1619) |
| 385H00000X Respite Care (Licence: GA 060-R-1619) | |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2017-11-05 |