| NPI | 1861212185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATEARANY GREEN RN 601-543-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-22 |