| NPI | 1023530904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEY WAYNE DAVIS CEO 601-403-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 231) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |