Organization
PRIVATE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON ANN PENNOCK (DIRECTOR)
(601) 636-2701
Entity
Organization
Contact information
Practice address
1017 JACKSON ST, VICKSBURG, MS 39183-2521
(601) 636-2701
Mailing address
1017 JACKSON ST, VICKSBURG, MS 39183-2521
(601) 636-2701
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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