| NPI | 1497504351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICHELLE MCMULLION Owner 229-415-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-17 |