| NPI | 1770382442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYESHA GUYTON Owner 662-255-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-08-04 |