| NPI | 1730313222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON NOSA AGBONAVBARE Administrator 770-255-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 44-R-0203) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2015-06-09 |