Organization
JACKSON MS HOMECARE
Active
Other names
Visiting Angels Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON REESE DANIELS (EXECUTIVE DIRECTOR)
(601) 500-5027
Entity
Organization
Contact information
Practice address
2625 RIDGEWOOD RD STE 104, JACKSON, MS 39216-4900
(601) 500-5027
(601) 500-7344
Mailing address
2625 RIDGEWOOD RD STE 104, JACKSON, MS 39216-4900
(601) 500-5027
(601) 500-7344
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/23/2020
Last updated
11/17/2023
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