| NPI | 1730704396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL EDUARDO SALAZAR II President 706-829-6706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |