Organization
COMPASSIONATE NURSING HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEOLA MOORE RN (ADMINISTRATOR)
(601) 260-4277
Entity
Organization
Contact information
Practice address
628 N PLEASANT HILL RD, NEWHEBRON, MS 39140-4028
(601) 260-4277
Mailing address
PO BOX 1663, MONTICELLO, MS 39654-1663
(601) 260-4277
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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