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Organization

COMPANION CARE INSPIRED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANESHIA SMALLIE-SMITH (ADMINISTRATOR)
(662) 561-0673
Entity
Organization

Contact information

Practice address
103 WOODLAND RD STE 8H, BATESVILLE, MS 38606-7304
(662) 561-0673
Mailing address
103 WOODLAND RD STE 8H, BATESVILLE, MS 38606-7304
(662) 561-0673

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
10/08/2018
Last updated
10/08/2018
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