| NPI | 1013366012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALRENEASE COOK Owner 662-534-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center Adult Day Care | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-01-06 |