Organization
MISSISSIPPI SUPERIOR SENIOR SERVICES
Active
Other names
Right at Home
Organization subpart
No
Provider details
NPI number
Authorized official
LIBERTY FONTANA (OFFICE MANAGER)
(228) 255-9225
Entity
Organization
Contact information
Practice address
6340 KILN DELISLE RD STE A, PASS CHRISTIAN, MS 39571-9719
(228) 255-9225
(228) 255-7019
Mailing address
6340 KILN DELISLE RD STE A, PASS CHRISTIAN, MS 39571-9719
(228) 255-9225
(228) 255-7019
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04755841
—
MS
05
—
05903259
—
MS
Enumeration date
07/02/2018
Last updated
07/02/2018
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