| NPI | 1801954615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COOPER Administrator 7770-991-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 031-R-0044) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 031-R-0044) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |