| NPI | 1811496656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVON GLASPER Owner 601-754-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |