| NPI | 1255635074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERKELA BURCHETT Owner/Operator 228-860-8967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS 6373) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MS 6373) |
| 376J00000X Homemaker (Licence: MS 6373) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: MS 6373) | |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2015-12-02 |