Organization
TAKE1TOHELP1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAVON N BROOKS (SUPERVISOR)
(601) 606-9472
Entity
Organization
Contact information
Practice address
806 MAXWELL DR APT 3, HATTIESBURG, MS 39401-1128
(601) 606-9472
Mailing address
806 MAXWELL DR APT 3, HATTIESBURG, MS 39401-1128
(601) 606-9472
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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