| NPI | 1629593827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA FLORENCE Vice President 678-878-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |