| NPI | 1700440369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE HOWARD Member 601-454-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |