| NPI | 1861988420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO RIVERA Owner / Administrator 678-576-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: GA 056-R-1964) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2020-10-27 |