| NPI | 1487321204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKIA TAYLOR Owner/Manager 662-347-5997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 314000000X Skilled Nursing Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2024-07-19 |