Organization
COMBINED PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERISH R JOHNSON MPA (DIRECTOR OF ADMINISTRATIVE SERVICES)
(601) 214-4664
Entity
Organization
Contact information
Practice address
5260 CEDAR PARK DR STE A, JACKSON, MS 39206-4131
(601) 397-6575
(769) 251-2774
Mailing address
5260 CEDAR PARK DR STE A, JACKSON, MS 39206-4131
(601) 397-6575
(769) 251-2774
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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