Organization
PRIORITY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JOHNSON LPN (PRESIDENT)
(601) 906-9787
Entity
Organization
Contact information
Practice address
5719 HIGHWAY 25, STE. 206, FLOWOOD, MS 39232-7105
(601) 906-9787
(769) 257-5142
Mailing address
PO BOX 4118, BRANDON, MS 39047-4118
(601) 906-9787
(769) 257-5142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
08/10/2012
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