Organization
MY BROTHER'S KEEPER HOMECARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERTHANIA LUCKEY (EXECUTIVE DIRECTOR)
(662) 280-5625
Entity
Organization
Contact information
Practice address
8869 CENTRE ST STE B1, SOUTHAVEN, MS 38671-1725
(662) 280-5625
Mailing address
PO BOX 1908, SOUTHAVEN, MS 38671-0022
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
04/11/2018
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