| NPI | 1659026599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYUM MEHDEWI MOHEBI Administrator 770-235-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 3747P1801X Technician, Personal Care Attendant | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |