Organization
JOHN WILL LIFESTYLE COMPANIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA SMIT (FOUNDER/CEO)
(662) 895-1324
Entity
Organization
Contact information
Practice address
6551 COCKRUM ST, SUITE 2, OLIVE BRANCH, MS 38654-3044
(662) 895-1324
Mailing address
6551 COCKRUM ST, SUITE 2, OLIVE BRANCH, MS 38654-3044
(662) 895-1324
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1027405
MS
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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