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Organization

CHRISTOPHER'S PERSONAL CARE HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GAIL M HOUCK RN (OWNER/ADMINISTRATOR)
(662) 551-1122
Entity
Organization

Contact information

Practice address
885 HIGHWAY 178 E, HOLLY SPRINGS, MS 38635-2641
(662) 551-1122
(662) 551-1635
Mailing address
885 HIGHWAY 178 E, HOLLY SPRINGS, MS 38635-2641
(662) 551-1122
(662) 551-1635

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
871
MS

Other

Enumeration date
07/13/2012
Last updated
07/13/2012
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