| NPI | 1861166571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE LLOYD Owner 662-399-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |