| 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 |