| NPI | 1679843825 |
|---|---|
| Doing Business As | LIFE BOUTIQUE |
| Doing Business As | D/B/A CENTRAL GEORGIA HOME CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHRIS WILDE EVP Enterprise CFO 478-633-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2019-08-09 |