| NPI | 1225489487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN K DIVINITY Co Owner/Manager 601-885-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |