| NPI | 1689271017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRIA THOMPSON CEO 601-325-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-11-24 |