| NPI | 1487415790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BOURRAGE Owner 601-480-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-06-04 |