NPI | 1790835635 |
---|---|
Former Legal Business Name | GENA'S FOUR SEASONS |
Entity Type | Organization |
Authorized Contact | SYLVIAETTE HARRIS Administrator 601-488-4027 |
Organization Subpart ? | No |
Primary Taxonomy | 376J00000X Homemaker |
Enumeration Date | 2007-01-11 |
Last Update Date | 2018-12-18 |