| NPI | 1356899579 |
|---|---|
| Doing Business As | PILGRIM REST ADC |
| Entity Type | Organization |
| Authorized Contact | GLORIA JEFFERSON Owner/Administrator 662-719-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2023-11-22 |