| NPI | 1497292205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY RENEE STURDIVANT Director 662-609-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MS 1059530) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MS 1059530) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |