Organization
GARDEN OF ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA DUNCAN (BILLER)
(601) 878-6945
Entity
Organization
Contact information
Practice address
4807 N STATE ST, SUITE 406, JACKSON, MS 39206-4826
(601) 982-3555
(601) 982-3557
Mailing address
4807 N STATE ST, SUITE 406, JACKSON, MS 39206-4826
(601) 982-3555
(601) 982-3557
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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