| NPI | 1245988898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA V KENDRICK CEO 662-295-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |