Individual
DOROTHY JEAN HOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 FIRST AVE, JACKSON, MS 39209-6345
(601) 321-4192
Mailing address
PO BOX 1101, RAYMOND, MS 39154-1101
(601) 321-4192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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