Organization
FIRST CARE
Active
Parent organization
FIRST CARE 506 LLC
Other names
shirley smith
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CARE 506 LLC
Authorized official
MISS LACARINGTON DOMINIQUE LAWRENCE CNA (OFFICE MANGER)
(601) 892-7350
Entity
Organization
Contact information
Practice address
506 W MARION AVE, SUITE H, CRYSTAL SPRINGS, MS 39059-2711
(601) 892-7350
(601) 892-7351
Mailing address
506 W MARION AVE, CRYSTAL SPRINGS, MS 39059-2711
(601) 892-7350
(601) 892-7351
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
AO62588
MS
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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