NPI | 1962573170 |
---|---|
Entity Type | Organization |
Authorized Contact | RHETT M PLAUCHE President 228-865-1330 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 7381) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363LF0000X Nurse Practitioner, Family (Licence: MS 7381) | |
Enumeration Date | 2006-11-10 |
Last Update Date | 2018-04-02 |