| NPI | 1598024440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE EJEMOLE Administrator 478-457-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 005-R-1041) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2013-07-17 |