| NPI | 1942910070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA HOLSTON Administrator/Owner 478-396-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-12-02 |