| NPI | 1023738473 |
|---|---|
| Former Legal Business Name | MISS SHAY'S GUARDIAN ANGELS, LLC |
| Entity Type | Organization |
| Authorized Contact | SHALITHA ERVIN CEO 601-862-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |