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Organization

MISSISSIPPI PROFESSIONAL NURSING CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LATOYA D LAWSON (ADMINISTRATOR)
(769) 798-0612
Entity
Organization

Contact information

Practice address
879 WILLIAM BLVD, APT 11C, RIDGELAND, MS 39157-1510
(769) 798-0612
Mailing address
879 WILLIAM BLVD, APT 11C, RIDGELAND, MS 39157-1510
(769) 798-0612

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1036150
MS

Other

Enumeration date
01/10/2015
Last updated
01/10/2015
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