Individual
ARLETTA S LUCKETT-AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1669 WIGGINS RD, JACKSON, MS 39209-4437
(240) 817-6069
Mailing address
1669 WIGGINS RD, JACKSON, MS 39209-4437
(240) 817-6069
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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