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Organization

SUPERIOR NURSING AND SITTING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RITA MICHELLE MALLETT (DIRECTOR)
(601) 566-0483
Entity
Organization

Contact information

Practice address
937 W LAKE DOCKERY DR, BYRAM, MS 39272-9003
(601) 566-0483
(601) 665-4536
Mailing address
PO BOX 660, RAYMOND, MS 39154-0660
(601) 566-0483
(601) 665-4536

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01504520
MS
Enumeration date
04/09/2012
Last updated
04/09/2012
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