| NPI | 1619842374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARHONDA JACKSON Owner 706-814-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |