| NPI | 1992047096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLYNETTE MORRIS-GLEATON CEO/Exec.Director 770-849-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |