| NPI | 1801237839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA R REDMOND Owner 228-265-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2013-07-06 |