| NPI | 1982137113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE K GRAHAM Owner/ Administrator 501-908-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AR 10484458b6e82525ea) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |