| NPI | 1952847402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD BLALACK President 228-861-4218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 009) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2022-05-19 |