| NPI | 1548628043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIREISLA DENAE KELLY Chief Executive Officer 601-278-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 347B00000X Bus |
| 347C00000X Private Vehicle | |
| 253Z00000X In Home Supportive Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| 343800000X Secured Medical Transport (VAN) | |
| 261Q00000X Clinic/Center | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2026-05-20 |