| NPI | 1790174944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE LISA MCGILL Director Of Operations 678-701-5115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA PCH009075) |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-01-30 |