| NPI | 1558847624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAWANDA JORDAN President 601-573-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |