Organization
FAMILY CARE CENTER LLC
Active
Other names
Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA S GARDNER NP (OWNER)
(760) 443-4616
Entity
Organization
Contact information
Practice address
4730 MORRIS ST, MOSS POINT, MS 39563-2838
(228) 285-0361
Mailing address
4730 MORRIS ST, MOSS POINT, MS 39563-2838
(228) 285-0361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3227521
—
MS
Enumeration date
02/25/2022
Last updated
05/23/2022
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