| NPI | 1639703580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA SMITH Office Manager 770-294-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2024-05-14 |