| NPI | 1861890378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA MAYES Owner 601-405-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: MS 44780) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: MS 44780) |
| 372600000X Adult Companion (Licence: MS 44780) | |
| 3747A0650X Technician Attendant Care Provider (Licence: MS 44780) | |
| 374U00000X Home Health Aide (Licence: MS 44780) | |
| 376J00000X Homemaker (Licence: MS 44780) | |
| 376K00000X Nurse's Aide (Licence: MS 44780) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2019-02-21 |