| NPI | 1770202814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY STEVENSON Owner/Manager 228-596-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 372500000X Chore Provider | |
| 251G00000X Hospice Care, Community Based | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-08-28 |