| NPI | 1689223588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNDRA LASTER DANIEL Administrator 678-480-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |