| NPI | 1053603456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA TYRELLE JONES Predident 601-445-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS 11523) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2012-09-13 |