| NPI | 1932470747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA WINSTON GAYLOR Lpn/ Owner 601-594-7086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P316588) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |