| NPI | 1699430553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL FOLSOM Owner 662-996-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |