| NPI | 1730623166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA FRADIEU Owner/Administrator 404-468-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 241746) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2016-12-03 |