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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255796777
- **Authorized official:** KIMBERLY SMITH (OWNER)
- **Authorized official phone:** (912) 486-0794

## Contact information

- **Practice address:** 7370 HODGSON MEMORIAL DR, D2, SAVANNAH, GA 31406-2536
- **Practice address phone:** (912) 239-4816
- **Mailing address:** 7370 HODGSON MEMORIAL DR, D2, SAVANNAH, GA 31406-2536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 12/28/2015