| NPI | 1942186135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINEICE CHANNEL JIBRIL-ELLAMS Owner 770-203-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |