| NPI | 1922512797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKA SIMMONS CEO 601-724-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |