| NPI | 1609019389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLUSO FOLUKE REGINA AYENI Administrator 770-693-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 033-R-0558) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2009-04-11 |