| NPI | 1982433843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN LEWIS Owner 678-218-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-01-07 |