NPI | 1679967491 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MICHELLE FOSTER Owner/Member 731-501-9227 |
Organization Subpart ? | No |
Primary Taxonomy | 372600000X Adult Companion (Licence: TN 000786069) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2015-03-19 |