| NPI | 1528589686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION NEWMAN TYLER CEO 662-394-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |