| NPI | 1578906871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA MARIE JONES-WILLIAMS Owner 251-545-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AL 2013-011459) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: AL 2013-011459) |
| 253Z00000X In Home Supportive Care (Licence: AL 2013-011459) | |
| 261QH0100X Clinic/Center, Health Services (Licence: AL 2013-011459) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: AL 2013-011459) | |
| 347C00000X Private Vehicle (Licence: AL 2013-011459) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |