| NPI | 1740616150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA J DAVIS Owner 706-955-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA LCB20130001190) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |