| NPI | 1831119692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN HARRIS Owner 404-914-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: SC 060627-0280) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |