Organization
DEPENDABLE SOURCE CORP. OF MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLIE JONES (PRESIDENT)
(601) 355-3889
Entity
Organization
Contact information
Practice address
1840 S WEST ST, SUITE A, JACKSON, MS 39201-6402
(601) 355-3889
(601) 355-3885
Mailing address
P.O. BOX 3007, JACKSON, MS 39207
(601) 355-3889
(601) 355-3885
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MS
253Z00000X
In Home Supportive Care Agency
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00785801
—
MS
05
—
03151797
—
MS
Enumeration date
10/16/2015
Last updated
10/16/2015
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