| NPI | 1619213733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASONYA KING Director 888-726-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: GA 048-R-1175) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA 048-R-1175) |
| 385H00000X Respite Care (Licence: GA 048-R-1175) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 048-R-1175) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-06-18 |