| NPI | 1952993214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA RUTH LILLY Administrator 229-291-1091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |