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Organization
COMFORT LIVING PERSONAL CARE
Active
Organization
COMFORT LIVING PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMARCUS RIDEOUT (PRESIDENT)
(601) 268-0380
Entity
Organization
Contact information
Practice address
4906 OLD HIGHWAY 11 STE 11, HATTIESBURG, MS 39402-3659
(601) 268-0380
Mailing address
PO BOX 47, COLUMBIA, MS 39429-0047
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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