| NPI | 1871241125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL Q BUSSELL Owner 470-399-8529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |