| NPI | 1306410865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY DICKERSON Member 501-472-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-09-27 |