| NPI | 1922712249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE LACY Co Owner 870-377-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |