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 |