| NPI | 1811643687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEOLA MOORE CEO/Founder 601-756-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251J00000X Nursing Care |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-04-12 |