| NPI | 1942000732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CLARK Owner/Director 229-591-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-24 |