| NPI | 1801584578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA ANN WHITE Agency Administration 601-210-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 314000000X Skilled Nursing Facility | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 385H00000X Respite Care | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |