| NPI | 1023452505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELYRIA M PALMER CEO 601-316-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P326161) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |