| NPI | 1700530565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HARVIN Owner 601-209-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |