Organization
PURITY HOMEMAKER AND HOME HEALTH AIDE CARE SERVICES, LLC
Active
Other names
Purity Homemaker and Home Health Aide Care Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE MARIE MAXWELL CCMA, CNA (OWNER)
(601) 595-2673
Entity
Organization
Contact information
Practice address
989 MALLALIEU DR SE LOT 24, BROOKHAVEN, MS 39601-8985
(601) 455-4080
Mailing address
989 MALLALIEU DR SE LOT 24, BROOKHAVEN, MS 39601-8985
(601) 455-4080
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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