Individual
LACRYSTAL WINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 THOMAS ST, GREENVILLE, MS 38703-6764
(662) 436-1030
Mailing address
404 THOMAS ST, GREENVILLE, MS 38703-6764
(662) 436-1030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/21/2021
Last updated
05/07/2024
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