Individual
KIMBERLY DENISE WOODHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 RED OAK DR, BRANDON, MS 39042-9328
(769) 308-9921
Mailing address
2025 RED OAK DR, BRANDON, MS 39042-9328
(769) 308-9921
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1503259
MS
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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