| NPI | 1508906223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA PRESLEY Fiscal Officer 662-728-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-07-15 |