Organization
IN-HOME RESPITE BY ALEXANDER VINCENT & ALEXANDRIA LLC
Active
Other names
In-Home Respite by Alexander Vincent & Alexandria LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY CLAYBORNE (DIRECTOR)
(662) 299-7236
Entity
Organization
Contact information
Practice address
4795 MCWILLIE DR STE 105, JACKSON, MS 39206-5628
(769) 524-4191
(769) 524-4208
Mailing address
106 LUCKETT ST, GREENWOOD, MS 38930-3414
(662) 455-7233
(662) 455-7234
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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