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Organization

ON CALL NURSING AGENCY

Active
Other names
NA
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE L HAWKINS RN (RN)
(601) 218-8930
Entity
Organization

Contact information

Practice address
310 CAIN RIDGE RD, A7, VICKSBURG, MS 39180-6054
(601) 218-8930
(601) 218-8930
Mailing address
310 CAIN RIDGE RD, A7, VICKSBURG, MS 39180-6054
(601) 218-8930

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
R870313
MS
251G00000X
Community Based Hospice Care Agency
Primary
R870313
MS

Other

Enumeration date
12/21/2012
Last updated
12/21/2012
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