| NPI | 1750889267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA FOSTER Owner/Administrator 770-843-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 107-R-1781) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |