| NPI | 1730721374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CARTER Administrator 228-233-3574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2020-05-19 |