| NPI | 1801053137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLISSA HALL Director 662-419-5324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |