| NPI | 1619794666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYONDRA CLARK Administrator 229-715-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2026-05-18 |