| NPI | 1245975499 |
|---|---|
| Doing Business As | RESTORATION ESSENCE OF A LADY ACUTE PHP |
| Entity Type | Organization |
| Authorized Contact | JOANN WILSON Director 662-303-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-11-27 |