| NPI | 1902694730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLISA MARIE BUFORD Cna/Ma 531-389-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 372500000X Chore Provider | |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-11-01 |