| 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 |