| NPI | 1750170155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTA MARIE GILES Owner/Operator 678-343-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |