| NPI | 1134471659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA CAMILLE DANCY Administrator 662-347-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: MS 00530517) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |