| NPI | 1902264799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTIE J PRUITT Owner 662-580-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |