| NPI | 1740660265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE J CARTER CEO 912-506-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |