| NPI | 1912698416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WEATHERSPOON Owner 678-964-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |