| NPI | 1174123442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERENDA WILLIAMS Owner/President/Administrator 662-274-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-29 |