| NPI | 1972936821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKY LEE MATTHEWS Administrator 662-253-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 222) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-10-17 |