| NPI | 1669874673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYUNG SOOK SONG Owner 404-483-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 067-R-1183) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 067-R-1183) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2016-06-24 |