Organization
CAREFREE LIVING AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NICHOLE BAILEY BSN, RN (PATIENT CARE COORDINATOR)
(601) 618-3099
Entity
Organization
Contact information
Practice address
460 BRIARWOOD DR STE 400-1010, JACKSON, MS 39206-3051
(601) 301-9400
(601) 368-8904
Mailing address
460 BRIARWOOD DR STE 400-1010, JACKSON, MS 39206-3051
(601) 618-3099
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623312
ASSISTED LIVING FACILITIES FOR THE ELDERLY
MS
Enumeration date
01/21/2020
Last updated
01/21/2020
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