| NPI | 1679067102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD OLIVER Assistant Administrator 678-894-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 067-R-1933) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA 067-R-1933) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |