| NPI | 1831726447 |
|---|---|
| Former Legal Business Name | PROSPER COMMUNITY CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LUEDER CEO 404-784-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |