| NPI | 1427631407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA BRUCE Owner 601-807-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-08-02 |