| NPI | 1225618713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SMITH Owner 601-342-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 372600000X Adult Companion |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |