| NPI | 1891233474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN MACK JERNIGAN Co Owners 678-971-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 069-R-0635) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |