Organization
KINGDOM HOME CARE AND NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A HARPER (LPN)
(601) 520-5540
Entity
Organization
Contact information
Practice address
13 B M CIR, 13 B M CIRCLE, BASSFIELD, MS 39421-4256
(601) 520-5540
Mailing address
13 B M CIR, 13 B M CIRCLE, BASSFIELD, MS 39421-4256
(601) 520-5540
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MS
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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