| NPI | 1780250126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA NICOLE PELICAN Owner 912-625-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-12-30 |