| NPI | 1528633070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BOOKER Cno 662-306-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |