| NPI | 1639053416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE COOPER Owner 706-836-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |