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Organization
PRAETORIAN HEALTH SERVICES, LLC
Active
Organization
PRAETORIAN HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE FAYARD (OWNER)
(228) 596-5719
Entity
Organization
Contact information
Practice address
10241 BONEY AVE, SUITE A, DIBERVILLE, MS 39540-4889
(228) 314-1290
Mailing address
PO BOX 7066, GULFPORT, MS 39506-7066
(228) 314-1290
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
08/19/2016
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