Organization
PERSONAL IN-HOME CARE SOLUTIONS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WINGO (OWNER AND CEO)
(915) 479-8362
Entity
Organization
Contact information
Practice address
15156 HAVERSHAM PL, DIBERVILLE, MS 39540-6019
(915) 479-8362
Mailing address
15156 HAVERSHAM PL, DIBERVILLE, MS 39540-6019
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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