Organization
SOUTHERN HEARTS HOMECARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMEKA WILLIAMS CLPN (OWNER)
(662) 549-0851
Entity
Organization
Contact information
Practice address
206 DAUPHINE DR, COLUMBUS, MS 39702-8409
(662) 549-0851
Mailing address
206 DAUPHINE DR, COLUMBUS, MS 39702-8409
(662) 549-0851
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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