| NPI | 1326368044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBUKUN NATHANIEL UDJE Owner 601-918-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: TX VLL729) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |