| NPI | 1619635356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMINA KARLEEN WATTS Owner 770-628-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |