| NPI | 1487161519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE Q MILLER Executive Director 601-760-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |