| NPI | 1770986077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERONDA LYNN RUTHERFORD Alternate Administrator 662-491-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 017543) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2017-05-10 |