| NPI | 1710716410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MALOMS Manager 470-914-5449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |