| NPI | 1881107118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN W BASTIA Owner Administrator CEO 678-425-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 033-R-1532) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |