| NPI | 1215076039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA PEGUES Administrator 662-843-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |