| NPI | 1679005011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZUKA D ONYEMELUKWE CEO/President 770-575-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 033-R-1525) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: GA 033-R-1525) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-04-10 |