| NPI | 1689929689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LATASHA SHEPARD CEO 662-721-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS R874602) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |