| NPI | 1881955607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN MCCULLOM Administrator 770-948-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FM 048R1033) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |