| NPI | 1922376359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUS OTHELLO GRIMES Owner 770-728-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 107-R-1014) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: GA 107-R-1014) |
| 251J00000X Nursing Care (Licence: GA 107-R-1014) | |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility (Licence: GA 107-R-1014) | |
| 385H00000X Respite Care (Licence: GA 107-R-1014) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2023-03-09 |