| NPI | 1619588621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTRIC MCCLENDON Owner 678-820-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-05-17 |