| NPI | 1336735323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL TUCKER Managing Partner 601-573-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251B00000X Case Management |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |