| NPI | 1508562430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KAY WILLIAMS Owner 662-424-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |