| NPI | 1861021156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CARLA FRIES Owner 912-355-6472 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 251E00000X Home Health |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2022-05-31 |