| NPI | 1841170453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR EZENWA AMUZIE Owner 678-852-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 314000000X Skilled Nursing Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |