| NPI | 1811220387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA BARNES Lpn 662-335-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: MS P279862) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2010-05-04 |