| NPI | 1629325964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANNA L BYTHER Owner 601-500-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MS 05603243) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: MS 02089343) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |