| NPI | 1598900268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRETIUS DELRAY STEPHENS Director 706-405-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2022-10-26 |