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Organization
ONE HEART, MANY SMILES LLC
Active
Organization
ONE HEART, MANY SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIYSHA JOHNSON-BURKS (OWNER)
(601) 291-8098
Entity
Organization
Contact information
Practice address
437 JORDON RIDGE PL, MADISON, MS 39110-8340
(601) 291-8098
Mailing address
437 JORDON RIDGE PL, MADISON, MS 39110-8340
(601) 291-8098
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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