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Organization
TRADITION HOME CARE LLC
Active
Organization
TRADITION HOME CARE LLC
Active
Other names
Tradition Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON RUSSELL (CHIEF EXECUTIVE OFFICER)
(601) 583-9401
Entity
Organization
Contact information
Practice address
713 RONIE ST, SUITE C, HATTIESBURG, MS 39401-4345
(601) 583-9401
Mailing address
713 RONIE ST, SUITE C, HATTIESBURG, MS 39401-4345
(601) 583-9401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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