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Organization

SERVING COMMUNITIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUSTIN HENRY EIFLING (MANAGER)
(662) 827-2765
Entity
Organization

Contact information

Practice address
204 E AVE SOUTH, HOLLANDALE, MS 38748
(662) 827-2765
(662) 827-5001
Mailing address
PO BOX 276, HOLLANDALE, MS 38748-0276
(662) 827-2765
(662) 827-5001

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08574202
MS
Enumeration date
04/19/2007
Last updated
08/22/2020
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