| NPI | 1245711654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURIO TERRELL MCKELLER Owner 601-640-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 101YS0200X Counselor, School | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |