NPI | 1346508819 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY FORREST CEO 662-230-0947 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care |
Additional Taxonomies | 251G00000X Hospice Care, Community Based |
251T00000X PACE Provider Organization | |
261QA0600X Clinic/Center, Adult Day Care | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2012-05-02 |
Last Update Date | 2012-05-02 |