| NPI | 1720627599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY CLAYBORNE Director 662-299-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2023-03-20 |