| NPI | 1598472466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YLIESHE WILLIAMS Owner/Manager 229-563-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-02-24 |