| NPI | 1689012791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE O LOGAN Owner/Member 601-201-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |