Organization
BLESSING HEARTS PRIVATE DUTY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUTRECIA THOMPSON (PRESIDENT)
(601) 814-0060
Entity
Organization
Contact information
Practice address
105 N CHERRY ST, TYLERTOWN, MS 39667-2308
(601) 827-5107
Mailing address
105 N CHERRY ST, TYLERTOWN, MS 39667-2308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
10/23/2020
Last updated
11/27/2020
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