NPI | 1619001864 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB P KILBURN President 662-247-1254 |
Organization Subpart ? | No |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2025-08-29 |