| NPI | 1134252414 |
|---|---|
| Other Name | IN HOME SERVICES MIP |
| Entity Type | Organization |
| Authorized Contact | DAWN GRAZIANI Director 501-661-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |