NPI | 1548628043 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIREISLA DENAE KELLY Chief Executive Officer 601-278-4933 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
343800000X Secured Medical Transport (VAN) | |
343900000X Non-emergency Medical Transport (VAN) | |
347B00000X Bus | |
347C00000X Private Vehicle | |
Enumeration Date | 2016-01-29 |
Last Update Date | 2021-12-30 |