| NPI | 1508369760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEADRE THOMPSON RN/ Owner 601-214-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0500X Registered Nurse Hemodialysis |
| Additional Taxonomies | 163WX1500X Registered Nurse Ostomy Care |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |