| NPI | 1326522004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MITCHELL Owner 334-316-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |