| NPI | 1689421869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI WATTS Cheif Executive Officer 601-454-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 177F00000X Lodging | |
| 251300000X Local Education Agency (LEA) | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-06 |