Organization
OPTIMUM PERSONAL CARE & SITTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARNELL KITCHENS M.A (OWNER)
(601) 259-4602
Entity
Organization
Contact information
Practice address
4520 N STATE ST, JACKSON, MS 39206-5307
(601) 259-4602
(769) 572-5714
Mailing address
PO BOX 83040, JACKSON, MS 39283-3040
(601) 259-4602
(769) 572-5714
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MS
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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