| NPI | 1720972524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN GAIL SMITH JACKSON Administrator 678-592-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |