| NPI | 1811740889 |
|---|---|
| Other Name | 1ST GWINNETT HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL BIMBO Co Owner 678-913-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-10 |