| NPI | 1679924195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMETTA LITTLEJOHN Owner 404-242-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 171M00000X Case Manager/Care Coordinator | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |