| NPI | 1992127518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEHOME' BLISS Owner, Director 678-522-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD 170724) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |