| NPI | 1962976134 |
|---|---|
| Doing Business As | LONNIE'S DREAM, IN-HOME CARE |
| Entity Type | Organization |
| Authorized Contact | EDWARD WATSON Administrator 501-392-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |