| NPI | 1679248686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMESHA BARNES Owner 228-343-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-07-27 |