| NPI | 1902234784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKETA MONET ROBERTS Administrator/Owner 678-707-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 044R0841) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |