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Organization
CC RELIABLE CARE SERVICES LLC
Active
Organization
CC RELIABLE CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE LEE COLEMAN (OWNER)
(601) 786-1959
Entity
Organization
Contact information
Practice address
225 COMMUNITY DR, FAYETTE, MS 39069-7701
(601) 809-3696
(601) 202-1708
Mailing address
PO BOX 874, FAYETTE, MS 39069-0874
(601) 786-1959
(601) 202-1708
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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