| NPI | 1508605650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERON MILLER Managing Member 901-713-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |