Organization
FAMILY MEDICAL HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE DANETTE MYERS BUCHANAN (PRESIDENT)
(769) 823-6516
Entity
Organization
Contact information
Practice address
5040 CLINTON BLVD, JACKSON, MS 39209-3262
(769) 823-6516
Mailing address
POST OFFIECE BOX 11233, JACKSON, MS 39283
(769) 823-6516
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
08/04/2015
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