Organization
HOME OF CARE PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONEISHA MONIQUE COLEMAN (OWNER)
(662) 545-8880
Entity
Organization
Contact information
Practice address
813 JEROME ST, MOUND BAYOU, MS 38762-9610
(662) 545-8880
Mailing address
813 JEROME ST, MOUND BAYOU, MS 38762-9610
(662) 545-8880
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/27/2016
Last updated
11/27/2016
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