| NPI | 1770881732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELISA LEE Owner/Manager 706-627-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA LCB20100001456) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA LCB20100001456) |
| 253Z00000X In Home Supportive Care (Licence: GA LCB20100001456) | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2014-08-20 |