| NPI | 1710285010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA YVETTE MICKEY President 901-619-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN 1000000008243) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2017-04-03 |