| NPI | 1164793972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE LOOKER Director 601-528-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS 09603804) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |