| NPI | 1952695256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAKEYLA SHARELLE MANNING Owner 601-613-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS P317056) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |