| NPI | 1982940151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LEGRAND LUNDY Billing Management 706-723-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2020-06-03 |