| NPI | 1629468392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LACEY CEO 678-464-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 060-R-0154) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA 060-R-0154) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-06-12 |