| NPI | 1871106773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYCHELL THOMAS Owner 601-790-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |