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Organization
AT HOME CARE, INC.
Active
Organization
AT HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY JEANETTE FELTON RN (EXECUTIVE DIRECTOR)
(601) 437-3524
Entity
Organization
Contact information
Practice address
5015 I 55 N, JACKSON, MS 39206-4306
(601) 362-1701
(601) 362-0405
Mailing address
306 CHURCH ST, PORT GIBSON, MS 39150-2108
(601) 437-3524
(601) 437-3570
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
00770582
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437353752
—
MS
05
—
1871785527
—
MS
Enumeration date
07/17/2013
Last updated
07/17/2013
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