| NPI | 1669917191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYNESHIA JACKSON Owner 601-408-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS 1104877) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |