| NPI | 1164310942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEOSHIA JACKSON-GREEN Owner 225-377-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |