| NPI | 1689049058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE M MARSHALL Director Of Operations Doo 706-221-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 106R1472) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2016-08-23 |