| NPI | 1780058511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FONDA L MOODY Owner 901-355-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-01-14 |