| NPI | 1992324453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE DUNBAR Nurse Practitioner 404-780-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |