| NPI | 1942429899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLEEN SURALL YOUNG Owner 662-492-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 251E00000X Home Health (Licence: MS AO9357) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-09-11 |