| NPI | 1912749599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA LORRAINE JOHNSON Executive Director 501-707-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 163WH0200X Registered Nurse, Home Health | |
| 2083A0100X Preventive Medicine, Aerospace Medicine | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |