| NPI | 1023635356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA M CONLEY Director 228-697-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 163WH0200X Registered Nurse, Home Health | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 3747A0650X Technician, Attendant Care Provider | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-10-12 |