| NPI | 1265768535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN HEMPHILL Owner 662-299-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MS 5391106) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MS 26686) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: MS 5060599) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |