| NPI | 1689286825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENZADA JEFFERSON Administrator 601-498-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376J00000X Homemaker |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |