| NPI | 1750838439 |
|---|---|
| Doing Business As | ALIVE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | OTHELL RAVEN CEO 229-496-9147 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 047-R-1626) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |