Individual
GREATTA HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12089 GEORGE ST, GULFPORT, MS 39503-4360
(228) 346-8358
Mailing address
12089 GEORGE ST, GULFPORT, MS 39503-4360
(228) 346-8358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1225507
MS
253Z00000X
In Home Supportive Care Agency
Primary
1225507
MS
Other
Enumeration date
08/11/2020
Last updated
08/12/2020
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