| NPI | 1962289850 |
|---|---|
| Former Legal Business Name | MATTIE KATE HOME HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | PETRA HOSKINS-MICKLES Owner 706-615-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |