| NPI | 1629711825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY E WOODHAM Owner / President / Administrator 229-603-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-15 |