| NPI | 1275187262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDALYN ILORI Administrator 601-441-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-07-28 |