NPI | 1053746487 |
---|---|
Entity Type | Organization |
Authorized Contact | ADREA SMITH Owner 601-818-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
251E00000X Home Health | |
Enumeration Date | 2013-09-04 |
Last Update Date | 2013-09-05 |