| NPI | 1457842585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEALICE NIKITA YOUNG RN/CEO 662-670-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 894906) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MS 894906) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |