| NPI | 1588342000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHAN ALBERTO VASQUEZ Owner/CEO 770-380-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |