NPI | 1063081966 |
---|---|
Entity Type | Organization |
Authorized Contact | LACQUESHA A JOHNSON Owner 601-572-9815 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251J00000X Nursing Care |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2023-02-15 |