| NPI | 1114327202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE LAFAYE WESLEY CEO 870-718-0072 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AR R83622) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AR R83622) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AR R83622) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2015-08-04 |