| NPI | 1699541607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIA LUCAS SMITH Nurse 404-839-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |