| NPI | 1962748087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIRT PETERSON Executive Director 601-446-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |