Organization
MID-SOUTH PERSONAL CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERICA SMITH (OWNER/CEO)
(901) 462-1619
Entity
Organization
Contact information
Practice address
83 HARVARD RD, MARION, AR 72364-9738
(901) 462-1619
Mailing address
1100 S BRINKLEY LOOP APT 3, MARION, AR 72364-5030
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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