| NPI | 1053730135 |
|---|---|
| Doing Business As | HOME HEALTH/HOSPICE |
| Entity Type | Organization |
| Authorized Contact | NUJUANA RILEY RN 228-284-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MS R877585) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |