| NPI | 1770722464 |
|---|---|
| Doing Business As | HEALTH CARE PROVIDER |
| Entity Type | Organization |
| Authorized Contact | ALEX O WANDE Owner 678-344-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |