| NPI | 1831962216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL TATUM Chief Executive Officer 404-528-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |