| NPI | 1790515534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA FOREMAN CEO 678-595-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 305R00000X Preferred Provider Organization | |
| 3747A0650X Technician, Attendant Care Provider | |
| 376G00000X Nursing Home Administrator | |
| 376K00000X Nurse's Aide | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-05-03 |