Organization
COMMON CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY STEELE (CEO)
(832) 492-8311
Entity
Organization
Contact information
Practice address
5328 HARTSDALE DR, JACKSON, MS 39211-4001
(832) 492-8311
Mailing address
5328 HARTSDALE DR, JACKSON, MS 39211-4001
(832) 492-8311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/04/2021
Last updated
03/04/2022
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