| NPI | 1710726153 |
|---|---|
| Doing Business As | N/A |
| Former Legal Business Name | KEVIASHEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | NIKIETA BUSH Owner 678-322-6943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-29 |