Organization
INFINITY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAMEIKA JOHNSON (ADMINISTRATOR)
(601) 624-3876
Entity
Organization
Contact information
Practice address
25 PEAR ORCHARD PARK, JACKSON, MS 39211-2810
(601) 624-3876
(769) 572-7127
Mailing address
PO BOX 331, RIDGELAND, MS 39158-0331
(769) 572-7127
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09177390
—
MS
Enumeration date
01/31/2017
Last updated
01/31/2017
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