| NPI | 1962287813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN D LONG Owner 678-548-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-03-27 |