| NPI | 1780211284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWELVER NIKKI WEBB CEO 470-381-2983 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2022-03-02 |