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Organization
CARE AT HOME MISSISSIPPI
Active
Organization
CARE AT HOME MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY JACKSON (AGENCY MANAGER/OWNER)
(847) 563-0295
Entity
Organization
Contact information
Practice address
7 PROFESSIONAL PKWY STE 101, HATTIESBURG, MS 39402-2648
(847) 563-0295
(847) 563-3331
Mailing address
1810 LAKE ST, EVANSTON, IL 60201-4068
(847) 563-0295
(847) 563-3331
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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