| NPI | 1225688930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENESHIA ROBINSON Manager 662-471-0596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251T00000X PACE Provider Organization | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |