| NPI | 1689307282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JANE HOLCOMBE Owner 662-251-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |