| NPI | 1598481467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE CRADDIETH Owner 662-364-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-11-13 |