| NPI | 1881094597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASONYA KING Owner 678-650-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA 048-R-1175) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 048-R-1175) | |
| 347E00000X Transportation Broker (Licence: GA 048-R-1175) | |
| 385H00000X Respite Care (Licence: GA 048-R-1175) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |