| NPI | 1720485741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RENEE POLITE Administrator 706-504-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA LBC20140001185) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |