| NPI | 1508951120 |
|---|---|
| Other Name | ELDERLY AND DISABLED MEDICAID WAIVER PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SHARON GARDNER Executive Director 662-728-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |