| NPI | 1861094906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE THOMPSON President 601-441-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |