Organization
HOME SWEET HOME PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MARY (OWNER)
(601) 876-0130
Entity
Organization
Contact information
Practice address
71 BRANDON BAY CHURCH RD, LOT 1, TYLERTOWN, MS 39667-7227
(601) 876-0130
Mailing address
71 BRANDON BAY CHURCH RD, LOT 1, TYLERTOWN, MS 39667-7227
(601) 876-0130
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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