| NPI | 1114459336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RETHEMIOUS RENEE LYNN Chief Executive Officer 1256-797-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AL 1-139627) |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care (Licence: AL 1-139627) | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |