| NPI | 1770828584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINAH WASHINGTON Owner/CEO 662-592-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AR L27230) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-27 |