Organization
HEALING HANDS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NIKKI COOPER RN (OWNER)
(601) 307-2087
Entity
Organization
Contact information
Practice address
704 WALNUT ST, 704 WALNUT STREET, HATTIESBURG, MS 39401-4374
(601) 307-2087
Mailing address
704 WALNUT ST, 704 WALNUT STREET, HATTIESBURG, MS 39401-4374
(601) 307-2087
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R867038
MS
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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