Organization
PILGRIM REST PERSONAL CARE & RESPITE SERVICE
Active
Other names
Pilgrim Rest ADC
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA JEFFERSON (OWNER/ADMINISTRATOR)
(662) 719-3672
Entity
Organization
Contact information
Practice address
102 MCWILLIAMS STREET, WINSTONVILLE, MS 38781-0000
(662) 741-2020
(662) 741-2831
Mailing address
P O BOX 125, WINSTONVILLE, MS 38781-0000
(662) 741-2020
(662) 741-2831
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/16/2016
Last updated
11/22/2023
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