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Organization
CELESTIAL CARE
Active
Organization
CELESTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA HAWKINS (OWNER)
(601) 807-2620
Entity
Organization
Contact information
Practice address
312 MARTIN LUTHER KING AVE, VIDALIA, LA 71373-4077
(601) 807-2620
Mailing address
122 GARDEN DR, FERRIDAY, LA 71334-4715
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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