Organization
SUPERIOR HOME CARE
Active
Other names
CONTINA HAMILTON
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONTINA LOUISE HAMILTON (OWNER)
(601) 687-5165
Entity
Organization
Contact information
Practice address
130 COUNTY ROAD 2700, SHUBUTA, MS 39360-8600
(601) 687-5165
(601) 687-5165
Mailing address
130 COUNTY ROAD 2700, SHUBUTA, MS 39360-8600
(601) 687-5165
(601) 687-5165
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NONE
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770603
—
MS
05
—
00770604
—
MS
Enumeration date
12/04/2007
Last updated
12/04/2007
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