| NPI | 1457882912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA C JAMES-WEATHERSBY Authorized Representative 601-589-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS 1113905) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MS 1113905) |
| 347C00000X Private Vehicle (Licence: MS 1113905) | |
| 385H00000X Respite Care (Licence: MS 1113905) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MS 1113905) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2017-03-25 |