| NPI | 1932614146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONCHELLE MACK Program Consultant 404-528-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 060R1431) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |