| NPI | 1003242942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE LEE President/CEO 601-982-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |