| NPI | 1710435722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORTNEY MIRANDA WILSON Owner/Administrator 229-942-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 047-R-1464) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |