Organization
RANDOLPH'S DEVOTED HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA RICHMOND (CEO/PRESIDENT)
(662) 755-5066
Entity
Organization
Contact information
Practice address
6901 HIGHWAY 305 N STE F, OLIVE BRANCH, MS 38654-2317
(901) 347-7221
Mailing address
6901 HIGHWAY 305 N STE F, OLIVE BRANCH, MS 38654-2317
(662) 755-5066
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
11/20/2020
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