| NPI | 1336847078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA WHITE Administrator 334-513-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 314000000X Skilled Nursing Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |