NPI | 1659707206 |
---|---|
Entity Type | Organization |
Authorized Contact | ANSELM UGONNA Agency Administrator 912-349-6441 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: GA 025-R-0956) |
Enumeration Date | 2013-09-15 |
Last Update Date | 2014-04-04 |