| NPI | 1912647785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB JATRELL HINTON CEO 601-596-7153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |