| NPI | 1295463792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA AVERY Owner 601-394-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| 253Z00000X In Home Supportive Care | |
| 251E00000X Home Health | |
| 174200000X Meals | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-12-30 |