| NPI | 1275279408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY HAGOOD Owner 870-565-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251X00000X Supports Brokerage | |
| 374U00000X Home Health Aide | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |