# CARING HANDS CHILDREN'S CLINIC II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639764020
- **Authorized official:** MRS. DEONTRANESE TAYLOR NP (NURSE PRACTITIONER)
- **Authorized official phone:** (601) 754-0772

## Contact information

- **Practice address:** 29 SECOND ST., MEADVILLE, MS 39653-3965
- **Practice address phone:** (601) 587-4304
- **Practice address fax:** (601) 587-4515
- **Mailing address:** PO BOX 1400, MONTICELLO, MS 39654-1400
- **Mailing address phone:** (601) 587-4304
- **Mailing address fax:** (601) 587-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2021
- **Last updated:** 04/27/2021