| NPI | 1891063947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BRONCHELL ISAAC Owner 478-274-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 087R0792) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 087-R-0792) |
| 385H00000X Respite Care (Licence: GA 087-R-0792) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-03-05 |