Organization
LEGACY CARE COACHES AGENCY BY CPWAR
Active
Other names
legacy Care coaches agency by CPWAR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMARCUS KEON CAPTVILLE SR. (CEO)
(225) 877-8566
Entity
Organization
Contact information
Practice address
433 WINTER ST, LUCEDALE, MS 39452-6607
(225) 877-8566
Mailing address
433 WINTER ST, LUCEDALE, MS 39452-6607
(225) 877-8566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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