| NPI | 1316222128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE MACK CEO 870-735-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: AR 11002) |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2025-02-03 |