Organization
PURITY HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE M MAXWELL CNA (OWNER)
(601) 265-8219
Entity
Organization
Contact information
Practice address
989 MALLALIEU DR SE LOT 24, BROOKHAVEN, MS 39601-8985
(601) 265-8219
Mailing address
989 MALLALIEU DR SE LOT 24, BROOKHAVEN, MS 39601-8985
(601) 265-8219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1090
MS
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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