| NPI | 1922494541 |
|---|---|
| Former Legal Business Name | TRADITION HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | BYRON RUSSELL Chief Executive Officer 601-583-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |