| NPI | 1558872101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ALEXANDER Owner 662-609-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2017-10-21 |