# CELESTIAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396323002
- **Authorized official:** LANA HAWKINS (OWNER)
- **Authorized official phone:** (601) 807-2620

## Contact information

- **Practice address:** 312 MARTIN LUTHER KING AVE, VIDALIA, LA 71373-4077
- **Practice address phone:** (601) 807-2620
- **Mailing address:** 122 GARDEN DR, FERRIDAY, LA 71334-4715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/01/2021