Organization
FAMILY FRIEND,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY RENEE STURDIVANT (DIRECTOR)
(662) 609-4976
Entity
Organization
Contact information
Practice address
1504 23RD ST N, COLUMBUS, MS 39701-2528
(662) 609-4976
(662) 223-3061
Mailing address
1504 23RD ST N, COLUMBUS, MS 39701-2528
(662) 609-4976
(662) 223-3061
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1059530
MS
253Z00000X
In Home Supportive Care Agency
1059530
MS
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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