| NPI | 1679156616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI T. VAN DORN Owner Operator 678-923-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |