Organization
GERIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA H. SHELTON (VP)
(601) 956-8276
Entity
Organization
Contact information
Practice address
13 NORTHTOWN DR, SUITE 220, JACKSON, MS 39211-3047
(601) 956-8276
(601) 709-0832
Mailing address
13 NORTHTOWN DR, SUITE 220, JACKSON, MS 39211-3047
(601) 956-8276
(601) 709-0832
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
05810/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440225
—
MS
Enumeration date
07/11/2006
Last updated
08/22/2020
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