Organization
LEISA HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEISA SILAS STEWART (OWNER)
(662) 457-1283
Entity
Organization
Contact information
Practice address
522 WEST PARK AVENUE SUITE S, GREEENWOOD, MS 38930
(662) 457-1283
Mailing address
522 WEST PARK AVENUE SUITE S, 522 WEST PARK AVENUE SUITE S, GREEENWOOD, MS 38930
(662) 457-1283
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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