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Organization
AT HOME CARE, INC.
Active
Organization
AT HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE FELTON RN, BSN (DIRECTOR)
(601) 437-3524
Entity
Organization
Contact information
Practice address
1004 COLLEGE ST, PORT GIBSON, MS 39150-2434
(601) 437-3524
(601) 437-3570
Mailing address
1004 COLLEGE ST, PORT GIBSON, MS 39150-2434
(601) 437-3524
(601) 437-3570
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00770852
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770582
—
MS
05
—
00770850
—
MS
Enumeration date
08/16/2007
Last updated
08/16/2007
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