Organization
SOUTHERN FOUNDATION FOR HOMELESS CHILDREN
Active
Other names
Gray's Transportation and Health Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATANNYA CATRIECE JACKSON (COMMUNICATION REPRESENTATIVE)
(662) 722-3118
Entity
Organization
Contact information
Practice address
317 MARTIN LUTHER KING DRIVE, SUITE 102, STARKVILLE, MS 39759
(662) 320-6616
(662) 320-6616
Mailing address
317 MARTIN LUTHER KING DRIVE, SUITE 102, STARKVILLE, MS 39759
(662) 320-6616
(662) 320-6616
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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