| NPI | 1316297575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANDA SHEPEARD Owner/Administrator 601-720-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2023-03-20 |