| NPI | 1750653614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDINE OCEOLA GORDON Owner/Administrator 770-879-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 044-R-0991) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: GA 044-R-0991) |
| 251J00000X Nursing Care (Licence: GA 044-R-0991) | |
| 253Z00000X In Home Supportive Care (Licence: GA 044-R-0991) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |