| NPI | 1740777010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYRIMA ANDERSON CEO 678-697-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 315D00000X Hospice, Inpatient | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343800000X Secured Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2019-12-04 |