| NPI | 1124825666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HOLCOMB President 601-325-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |