Organization
ROSE GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSIE SUMMERS (OWNER)
(601) 559-0005
Entity
Organization
Contact information
Practice address
3843 TROY AVE, JACKSON, MS 39213-5958
(601) 503-4821
Mailing address
3843 TROY AVE, JACKSON, MS 39213-5958
(601) 503-4821
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/29/2013
Last updated
07/10/2014
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