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Organization
TENDER HEARTS HOMECARE
Active
Organization
TENDER HEARTS HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNESHIA JACKSON LPN (OWNER)
(601) 408-2934
Entity
Organization
Contact information
Practice address
2436 BEACH BLVD, #A8, BILOXI, MS 39531-4910
(601) 408-2934
Mailing address
2436 BEACH BLVD, #A8, BILOXI, MS 39531-4910
(601) 408-2934
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1104877
MS
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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