| NPI | 1407571789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA HORTON Office Manager 931-800-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |