| NPI | 1649801689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE WHEAT Administrator 470-345-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-02-04 |