| NPI | 1770891061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA STALLINGS Director 662-546-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-22 |