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Organization
LS PRIVATE HOMECARE SERVICE
Active
Organization
LS PRIVATE HOMECARE SERVICE
Active
Other names
Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUITA S LEVY (CAREGIVER)
(601) 575-0583
Entity
Organization
Contact information
Practice address
114 FOLEY AVE, CANTON, MS 39046-6613
(601) 575-0583
Mailing address
114 FOLEY AVE, CANTON, MS 39046-6613
(601) 575-0583
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/12/2023
Last updated
02/28/2024
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