| NPI | 1588391403 |
|---|---|
| Former Legal Business Name | THE SAME |
| Entity Type | Organization |
| Authorized Contact | JACOB HRANGHLEI LIAN Administrator 678-481-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-10 |