| NPI | 1720542228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBYSTEIN THOMAS Own 662-807-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2021-03-03 |