| NPI | 1144814120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACRYSTAL ZUKILYA WINDER Owner 662-400-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376J00000X Homemaker |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2021-02-21 |