| NPI | 1295160463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI EDMUNDS Administrator 662-342-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |