Organization
CUSTOM CARE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS WINTON MCINNIS IV (PRESIDENT)
(601) 813-9535
Entity
Organization
Contact information
Practice address
1403 VAN BUREN AVE, OXFORD, MS 38655-4091
(601) 813-9535
Mailing address
1403 VAN BUREN AVE, OXFORD, MS 38655-4091
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1066035
MS
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
About Stedi
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