| NPI | 1245663251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEBLES JONES-WRIGHT Manager/Owner 769-257-7232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P321453) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |