| NPI | 1073498945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMYN LEE HINES Admin 229-416-1372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |