| NPI | 1760751077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETORSHA HOM Account Executive 678-817-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA OT002225) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA OT002225) |
| 253Z00000X In Home Supportive Care (Licence: GA OT002225) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |