| NPI | 1750270559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHEA RAMSEY Ower/ Manger 601-590-5281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center Community Health | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 310400000X Assisted Living Facility | |
| 315D00000X Hospice, Inpatient | |
| 376K00000X Nurse's Aide | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2025-06-28 |