| NPI | 1215793492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHEDRE VIVERETTE Director Of Operations 601-297-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |