| NPI | 1669927380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUKU MAYA SAMAL Administrator 678-992-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 067R1484) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |