| NPI | 1154671626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY OLEATHA GOODGAME Owner 334-363-5194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AL 1258) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2017-05-04 |