| NPI | 1609370410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE HOLDING Alt Adminitrator 404-545-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5223413) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |