| NPI | 1699058883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED IBEGBULAM Administrator 770-627-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 033-R-0815) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 033-R-0815) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-05-04 |