Organization
PRIDE HOME HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIA BAKER (OWNER)
(601) 307-0216
Entity
Organization
Contact information
Practice address
2615 LINCOLN RD, HATTIESBURG, MS 39402-3132
(601) 307-0216
Mailing address
2615 LINCOLN RD, HATTIESBURG, MS 39402-3132
(601) 307-0216
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/02/2024
Last updated
10/18/2024
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