Organization
GENTLE MAGNOLIA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHIA WILLIAMS (OWNER)
(228) 547-9022
Entity
Organization
Contact information
Practice address
2059 E PASS RD UNIT S15, GULFPORT, MS 39507-3761
(228) 547-9022
Mailing address
2059 E PASS RD UNIT S15, GULFPORT, MS 39507-3761
(228) 547-9022
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/01/2023
Last updated
12/14/2023
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