| NPI | 1588538227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICCOLE BLAKE Manager 501-442-5768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-10-04 |
| Last Update Date | 2025-10-04 |