Organization
CHEYENNE TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN CLAY (OWNER/OPERATOR)
(662) 436-4635
Entity
Organization
Contact information
Practice address
104 WEST FRANKLIN STREET SUITE E, TUPELO, MS 38804
(662) 436-4635
(662) 796-8860
Mailing address
104 WEST FRANKLIN STREET SUITE E, TUPELO, MS 38804
(662) 436-4635
(662) 796-8860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
05/24/2023
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