Organization
MOSSY OAK PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE HIRES (OWNER)
(912) 294-2837
Entity
Organization
Contact information
Practice address
1150 RIVER RD, JESUP, GA 31546-1303
(912) 588-0065
Mailing address
1150 RIVER RD, JESUP, GA 31546-1303
(912) 588-0065
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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