| NPI | 1205146461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE MICHELLE MCCOOL Administrator, Owner 601-656-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2022-12-30 |