| NPI | 1225697659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASWINDA HALL President 662-687-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-07-21 |