| NPI | 1760199806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEAN DENISE PITTMAN President/Owner 662-262-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2023-04-10 |