| NPI | 1548027030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTARSIA Q ROBERTSON Administrator 901-644-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-04 |