| NPI | 1104063254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE ADAMS CEO 276-618-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2010-06-24 |