| NPI | 1942715289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA HAILES Owner 601-410-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |