Organization
MISSION HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA M WILLIAMS (LPN,OWNER)
(228) 213-9112
Entity
Organization
Contact information
Practice address
14129 RIDGEWAY DR, GULFPORT, MS 39503-4810
(228) 213-9112
Mailing address
14129 RIDGEWAY DR, GULFPORT, MS 39503-4810
(228) 213-9112
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1091006
MS
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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