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Organization

FIRST STEP COMMUNITY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NATWASSIE TRULY (CEO)
(601) 500-0637
Entity
Organization

Contact information

Practice address
2633 SOUTH LIBERTY ST, STE B, CANTON, MS 39046
(601) 500-0637
Mailing address
PO BOX 1496, CANTON, MS 39046-1496

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
MS
372600000X
Adult Companion
Primary
373H00000X
Day Training/Habilitation Specialist
376J00000X
Homemaker

Other

Enumeration date
03/04/2013
Last updated
03/04/2013
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