| NPI | 1598792996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY CYNTHIA LEACH Executive Director 770-728-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: GA 15308) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-08-26 |