| NPI | 1720284839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWANTRELL D GREEN CEO Manager 228-343-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-17 |