| NPI | 1881105609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALTINA MARIE COLEMAN Owner/ Operator 601-398-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care (Licence: MS 253Z00000X) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |