Organization
HANDS OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATILLIUS A FORTENBERRY (CEO)
(601) 528-9749
Entity
Organization
Contact information
Practice address
297 MAGNOLIA DR S STE B, WIGGINS, MS 39577-2744
(601) 528-9749
Mailing address
2600 OLD AMY RD APT 22, LAUREL, MS 39440-1893
(601) 498-0446
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/16/2010
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