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Organization

CARE COMPANION AT HOME LLC

Active
Other names
Care Companion At Home LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KENLEY PAYNE (CO-OWNER)
(601) 549-2135
Entity
Organization

Contact information

Practice address
225 GENERAL ROBERT E BLOUNT DRIVE, BASSFIELD, MS 39421
(601) 606-0784
Mailing address
16B HEARTWOOD PL, HATTIESBURG, MS 39402-9088
(601) 549-2135

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164W00000X
Licensed Practical Nurse
251B00000X
Case Management Agency
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QH0100X
Health Service Clinic/Center
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care
385HR2055X
Child Mental Illness Respite Care

Other

Enumeration date
03/20/2023
Last updated
03/20/2023
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