| NPI | 1699013714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA THOMPSON Owner/CEO 678-625-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA BLP-18639) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA BLP-18639) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |