| NPI | 1790339869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA GALLOWAY Administrator 228-967-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2019-07-27 |