| NPI | 1194695411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE D GRAVES Executive Director 870-253-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-11-11 |
| Last Update Date | 2025-11-11 |