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Organization
SOUTH MS GULF COAST HOME CARE LLC
Active
Organization
SOUTH MS GULF COAST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHA BANNISTER (OWNER)
(228) 363-9045
Entity
Organization
Contact information
Practice address
30043 PEARSON CEMETARY RD, CARRIERE, MS 39426-9207
(228) 363-9045
Mailing address
30043 PEARSON CEMETARY RD, CARRIERE, MS 39426-9207
(228) 363-9045
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
07/22/2021
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