Organization
CITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERRYL EVONNE JONES (DIRECTOR)
(601) 213-4893
Entity
Organization
Contact information
Practice address
3324 GOODMAN RD E, SOUTHAVEN, MS 38672-6433
(601) 213-4893
(901) 744-7583
Mailing address
3324 GOODMAN RD E, SOUTHAVEN, MS 38672-6433
(601) 213-4893
(901) 744-7583
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2330
MS
Other
Enumeration date
11/15/2007
Last updated
01/25/2010
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