Organization
PROFESSIONAL STAFFING SOLUTIONS ADULT DAY SERVICES, LLC
Active
Other names
PROFESSIONAL STAFFING SOLUTIONS & ADULT DAY SERVICES, INC., PROFESSIONAL STAFFING SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PANDORA REDMOND RN (OWNER/ADMINISTRATOR)
(662) 822-1924
Entity
Organization
Contact information
Practice address
1633 BROADWAY EXT N # P, GREENVILLE, MS 38703-1942
(662) 335-5554
(662) 335-5580
Mailing address
PO BOX 4580, GREENVILLE, MS 38704-4580
(662) 335-5554
(662) 335-5580
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
R863014
MS
372600000X
Adult Companion
R863014
MS
376J00000X
Homemaker
R863014
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06908787
—
MS
05
—
07331397
—
MS
05
—
08679792
—
MS
Enumeration date
12/09/2017
Last updated
05/09/2019
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