| NPI | 1750214854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BRIDGER Owner 870-316-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-06-08 |