| NPI | 1962413997 |
|---|---|
| Former Legal Business Name | PLC PROFESSIONAL LICENSED CARE, LLP |
| Entity Type | Organization |
| Authorized Contact | PANDORA REDMOND Executive Administrator 662-335-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MS R863014) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-03-28 |