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Organization
LOVING HEALTH CARE, INC.
Active
Organization
LOVING HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE KIMPLE ELEY (PRESIDENT/CEO)
(601) 354-7866
Entity
Organization
Contact information
Practice address
405 BRIARWOOD DR, SUITE 101, JACKSON, MS 39206-3052
(601) 354-7866
Mailing address
PO BOX 880, JACKSON, MS 39205-0880
(601) 354-7866
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06979709
MEDICAID RESPITE 04920770
MS
Enumeration date
03/29/2017
Last updated
03/29/2017
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