| NPI | 1982098893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPEOLU 0 FAWOLE Supervisor 678-855-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2021-07-06 |