| NPI | 1114240132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN CLAY Owner/Operator 662-436-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2023-05-24 |