| NPI | 1073229480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHIA WILLIAMS Operator 228-547-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 305S00000X Point of Service | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |