Organization
OUR HOUSE PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION NEWMAN TYLER (OWNER/ADMINISTRATOR)
(662) 394-9853
Entity
Organization
Contact information
Practice address
149 COURT STREET, MAYERSVILLE, MS 39113
(662) 394-9853
(662) 873-2673
Mailing address
2537 BOBOLINK PL, GREENVILLE, MS 38701-8105
(662) 394-9853
(662) 873-6200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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