| NPI | 1689417867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIA COLETTE LUCAS-SMITH Nurse 404-839-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 146L00000X Emergency Medical Technician, Paramedic | |
| 146N00000X Emergency Medical Technician, Basic | |
| 163W00000X Registered Nurse | |
| 163WC0400X Registered Nurse, Case Management | |
| 163WC1500X Registered Nurse, Community Health | |
| 163WH0200X Registered Nurse, Home Health | |
| 163WW0000X Registered Nurse, Wound Care | |
| 164W00000X Licensed Practical Nurse | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 314000000X Skilled Nursing Facility | |
| 341600000X Ambulance | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |