| NPI | 1215735295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALEESA JACKSON Owner 601-730-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |