| NPI | 1942565627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIA SIMS Owner/Director 601-918-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P320903) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |