| NPI | 1881377661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANDA LATRICE BLAKE Owner/ Director 662-897-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |