Organization
JIREH THERAPEUTICS LLC
Active
Parent organization
JIREH THERAPEUTICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JIREH THERAPEUTICS LLC
Authorized official
MS. KORLYNN TRICE MHA (DIRECTOR OF BILLING)
(601) 624-5912
Entity
Organization
Contact information
Practice address
5471 RIVER THAMES PLACE, JACKSN, MS 39211
(601) 566-5007
Mailing address
5471 RIVER THAMES PLACE, JACKSN, MS 39211
(601) 566-5007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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