| NPI | 1720511215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D. TAYLOR Pastor 731-286-1366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2022-07-21 |