| NPI | 1619353463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILLIENE HARDEN Registered Nurse 229-591-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: GA RN181305) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |