NPI | 1487324711 |
---|---|
Former Legal Business Name | IVORY SENIOR CARE & DME |
Entity Type | Organization |
Authorized Contact | WILLIAM IVORY Owner 501-319-7619 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2021-09-17 |
Last Update Date | 2021-09-17 |