| NPI | 1518640853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAWANDA RENEE STEPHENS Owner 229-733-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-07-28 |