| NPI | 1477876530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRACE Manager 601-974-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2011-06-27 |