| NPI | 1659838571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JOAN CLARKE Owner 404-429-0631 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |