Organization
BLACKWELL NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SMITH (OWNER)
(601) 342-2021
Entity
Organization
Contact information
Practice address
19 CLAIRMONT CIRCLE, LAUREL, MS 39440
(601) 342-2021
(601) 342-2714
Mailing address
PO BOX 2276, LAUREL, MS 39442
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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