| NPI | 1093089005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RESHONDA ALFORD Direct Owner 769-223-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS P325240) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: LA 20100495) |
| 253Z00000X In Home Supportive Care (Licence: MS P321846) | |
| 253Z00000X In Home Supportive Care (Licence: LA 272417) | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2013-03-12 |