| NPI | 1073232849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD WILLIAMS Owner 225-806-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| 347C00000X Private Vehicle | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |