| NPI | 1992437669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTENETTE JOANN AVERETT Nurse Manager 228-219-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |