Organization
VICKSBURG FAMILY HOME CARE,LLC
Active
Other names
Vicksburg Family Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L BARNES JR. (CHIEF EXECUTIVE OFFICER)
(269) 475-5211
Entity
Organization
Contact information
Practice address
706 W PRAIRIE ST, VICKSBURG, MI 49097-4909
(269) 475-5211
(269) 315-5100
Mailing address
706 W PRAIRIE ST, VICKSBURG, MI 49097
(269) 475-5211
(269) 315-5100
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
11/27/2018
Last updated
04/12/2024
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