Organization
THE POTTER'S HOUSE FAMILY SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVON KINARD (OWNER)
(662) 448-1172
Entity
Organization
Contact information
Practice address
678 N JEFFERSON ST, HOUSTON, MS 38851-9748
(662) 448-1172
Mailing address
PO BOX 656, HOUSTON, MS 38851-0656
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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