| NPI | 1669050258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS LOGAN Owner 678-389-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 305S00000X Point of Service | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |