| NPI | 1710406202 |
|---|---|
| Doing Business As | HOME INSTEAD SENIOR CARE #105 |
| Entity Type | Organization |
| Authorized Contact | JEFF SHIOVITZ Owner/ President/CEO 770-392-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |