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Organization
HOME OF CARE PERSONAL CARE SERVICES
Active
Organization
HOME OF CARE PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONEISHA MONIQUE COLEMAN (OWNER)
(662) 545-8880
Entity
Organization
Contact information
Practice address
813 JEROME ST, MOUND BAYOU, MS 38762-9610
(662) 545-8880
Mailing address
813 JEROME ST, MOUND BAYOU, MS 38762-9610
(662) 545-8880
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/27/2016
Last updated
11/27/2016
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