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Organization

PARAMOUNT HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIREISLA DENAE KELLY LPN (CHIEF EXECUTIVE OFFICER)
(601) 278-4933
Entity
Organization

Contact information

Practice address
819 BRIARFIELD RD, JACKSON, MS 39211-4116
(601) 278-4933
Mailing address
819 BRIARFIELD RD, JACKSON, MS 39211-4116

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
261Q00000X
Clinic/Center
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
347B00000X
Bus
347C00000X
Private Vehicle

Other

Enumeration date
01/29/2016
Last updated
12/30/2021
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