| NPI | 1821429275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPERT "RUDY" JOHNSON Executive Director 662-324-7860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2022-07-21 |