| NPI | 1639804636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LASHAY RUCKER Pssa 901-409-9740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-08-23 |