| NPI | 1780785865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRESHA G ONEAL CEO 706-951-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |