Individual
JOSEPHINE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2894 MOORE RD, RED BANKS, MS 38661-9763
(662) 671-8184
Mailing address
2894 MOORE RD, RED BANKS, MS 38661-9763
(662) 671-8184
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
182001420
TN
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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