| NPI | 1932712031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWANA JONES Owner 678-873-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-09-02 |