| NPI | 1700067774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI WHITESIDE Director Regulatory Licensing 770-248-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NJ HP0076215) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2018-04-30 |