| NPI | 1861040586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE MARTIN-SMITH Owner 662-347-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |