| NPI | 1124636659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL WASHINGTON Owner 601-826-6953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |