| NPI | 1922663996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKEYLA AMBRIEL CARLTON Owner 678-779-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |