| NPI | 1689311367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAITRAM THI PHAM Owner 770-680-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-24 |