| NPI | 1134649395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUIA ODOM Owner 601-951-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |