Organization
ANGELS ON EARTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KISHINA LYSHAUN JOHNSON (LPN)
(601) 674-6590
Entity
Organization
Contact information
Practice address
12 BELL LN, COLUMBIA, MS 39429-9102
(601) 674-6590
Mailing address
12 BELL LN, COLUMBIA, MS 39429-9102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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