| NPI | 1467004069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALEXANDER BRYSON Owner 270-929-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-06-07 |