| NPI | 1134254832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE M AMIS Owner 662-563-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-08-26 |