Organization
HARLEY'S HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ROBERTS CNA (CEO/ADMINISTRATOR)
(662) 260-6520
Entity
Organization
Contact information
Practice address
311 E MAIN ST, OKOLONA, MS 38860-1532
(662) 631-9707
Mailing address
1020 N GLOSTER ST # 209, TUPELO, MS 38804-1202
(662) 631-9707
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/07/2020
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