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Organization
GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
Active
Organization
GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
Active
Other names
GENA'S FOUR SEASONS
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIAETTE HARRIS (ADMINISTRATOR)
(601) 488-4027
Entity
Organization
Contact information
Practice address
410 MASONIC DRIVE, CLINTON, MS 39056
(601) 488-4027
(601) 488-4128
Mailing address
PO BOX 374, CLINTON, MS 39060
(601) 488-4027
(601) 488-4128
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07680072
—
MS
05
—
08778761
—
MS
Enumeration date
01/11/2007
Last updated
12/18/2018
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