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Organization
AMAZING GRACE ADULT DAY CARE AND IN-HOME SERVICES
Active
Organization
AMAZING GRACE ADULT DAY CARE AND IN-HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELIA V KENDRICK REGISTERED NURSE (CEO)
(662) 295-6406
Entity
Organization
Contact information
Practice address
7141 HIGHWAY 45 ALT N, WEST POINT, MS 39773-9444
(662) 524-4319
(662) 524-4396
Mailing address
7141 HIGHWAY 45 ALT N, WEST POINT, MS 39773-9444
(662) 524-4319
(662) 524-4396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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