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Organization

LOVING HEALTH CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE KIMPLE ELEY (PRESIDENT/CEO)
(601) 354-7866
Entity
Organization

Contact information

Practice address
405 BRIARWOOD DR, SUITE 101, JACKSON, MS 39206-3052
(601) 354-7866
Mailing address
PO BOX 880, JACKSON, MS 39205-0880
(601) 354-7866

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06979709
MEDICAID RESPITE 04920770
MS
Enumeration date
03/29/2017
Last updated
03/29/2017
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