Organization
V.I.S.A.R. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE MCKENZIE (OWNER/PRESIDENT)
(601) 557-5090
Entity
Organization
Contact information
Practice address
108 W CHURCH ST STE B, QUITMAN, MS 39355-0099
(601) 557-5090
Mailing address
108 W CHURCH ST STE B, QUITMAN, MS 39355-0099
(601) 557-5090
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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