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Organization
MISSISSIPPI SUPERIOR SENIOR SERVICES
Active
Organization
MISSISSIPPI SUPERIOR SENIOR SERVICES
Active
Other names
Right at Home
Organization subpart
No
Provider details
NPI number
Authorized official
LIBERTY FONTANA (OFFICE MANAGER)
(228) 255-9225
Entity
Organization
Contact information
Practice address
6340 KILN DELISLE RD STE A, PASS CHRISTIAN, MS 39571-9719
(228) 255-9225
(228) 255-7019
Mailing address
6340 KILN DELISLE RD STE A, PASS CHRISTIAN, MS 39571-9719
(228) 255-9225
(228) 255-7019
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04755841
—
MS
05
—
05903259
—
MS
Enumeration date
07/02/2018
Last updated
07/02/2018
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