| 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 |