| NPI | 1629867403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L GRESHAM Office Manager 334-840-9632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-08 |