| NPI | 1588122170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY DANIEL Owner 229-432-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |