| NPI | 1700936291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVA STEPHENS General Office Administrator 770-991-9489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 056-R-0001) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2016-05-25 |