| NPI | 1780089524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SMITH Owner 228-217-6329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2016-12-02 |