Organization
SPIRIT CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SHAWN JOHNSON (OWNER)
(901) 292-8494
Entity
Organization
Contact information
Practice address
9925 HIGHWAY 178, OLIVE BRANCH, MS 38654-3213
(901) 292-8494
(662) 932-2278
Mailing address
6717 BRANCH RD S, OLIVE BRANCH, MS 38654-4377
(901) 292-8494
(662) 893-2278
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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