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Organization
ADVANCED SPECIALIZED KARE LLC
Active
Organization
ADVANCED SPECIALIZED KARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATEARANY GREEN (RN)
(601) 543-8974
Entity
Organization
Contact information
Practice address
200 MAIN ST STE 1, COLLINS, MS 39428-6188
(601) 543-8974
Mailing address
200 MAIN ST STE 1, COLLINS, MS 39428-6188
(601) 543-8974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
10/11/2024
Last updated
10/22/2024
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