| NPI | 1720943137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASHONDRA STERDIVANT Business Manager 662-397-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |