| NPI | 1972092955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE DAVID BEAVERS Owner 404-438-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2023-11-07 |