Organization
PARENT & PARENTING NURSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELIUS WALKER (CEO/PRESIDENT)
(601) 613-7879
Entity
Organization
Contact information
Practice address
329 CEDARS OF LEBANON RD, JACKSON, MS 39206-3604
(601) 613-7879
Mailing address
P. O. BOX 2685, JACKSON, MS 39207
(601) 613-7879
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1200036056
MS
251E00000X
Home Health Agency
—
MS
Other
Enumeration date
06/30/2010
Last updated
07/21/2022
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