Organization
CAREHAVEN SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY WILSON (OWNER)
(601) 809-6267
Entity
Organization
Contact information
Practice address
240 BUFORD DR, VICKSBURG, MS 39180-2758
(601) 809-6267
Mailing address
PO BOX 820104, VICKSBURG, MS 39182-0104
(601) 809-6267
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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