Organization
SOUTH MS GULF COAST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHA BANNISTER (OWNER)
(228) 363-9045
Entity
Organization
Contact information
Practice address
30043 PEARSON CEMETARY RD, CARRIERE, MS 39426-9207
(228) 363-9045
Mailing address
30043 PEARSON CEMETARY RD, CARRIERE, MS 39426-9207
(228) 363-9045
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
07/22/2021
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