| NPI | 1457729154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY ADAMS Owner 225-270-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MS 09603804) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MS 07957011) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |