Organization
ALPHA & OMEGA HOME HELP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY SANDIFER (OWNER/MANAGER)
(601) 605-9055
Entity
Organization
Contact information
Practice address
107 PAWNEE PL, CLINTON, MS 39056-3140
(601) 605-9055
Mailing address
PO BOX 1100, JACKSON, MS 39215-1100
(601) 605-9055
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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