| NPI | 1972734291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNNE BOSTON President 870-425-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AR 167255767) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-05 |