Organization
EXCEPTIONAL TOUCH HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA C JAMES-WEATHERSBY (AUTHORIZED REPRESENTATIVE)
(601) 589-0768
Entity
Organization
Contact information
Practice address
300 BYRAM DR, APT 31-A, BYRAM, MS 39272-9259
(601) 589-0768
Mailing address
PO BOX 6621, JACKSON, MS 39282-6621
(601) 589-0768
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1113905
MS
253Z00000X
In Home Supportive Care Agency
Primary
1113905
MS
347C00000X
Private Vehicle
1113905
MS
385H00000X
Respite Care
1113905
MS
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
1113905
MS
385HR2065X
Child Physical Disabilities Respite Care
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Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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