| NPI | 1194908400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE RICHARDSON President 601-833-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MS 887539) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MS 887539) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: MS 887539) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |