Organization
GRACE SITTER SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA BALLENTINE CREEKMORE RN,BSN (PRESIDENT)
(662) 360-8138
Entity
Organization
Contact information
Practice address
634 DEER CREEK RD, BATESVILLE, MS 38606-7683
(662) 360-8138
Mailing address
634 DEER CREEK RD, BATESVILLE, MS 38606-7683
(662) 360-8138
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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