| NPI | 1184265571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAY NUTT Adminstrator 870-532-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2020-01-21 |