| NPI | 1144959966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESIA MECHELLE COLLINS Owner 270-438-9344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QC0050X Clinic/Center, Critical Access Hospital | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |