Organization
GRACIOUS BLESSINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNETTA SIMMONS (MANAGER)
(601) 600-1069
Entity
Organization
Contact information
Practice address
114 3RD STREET, OSYKA, MS 39657-3965
(601) 600-1069
Mailing address
PO BOX 581, OSYKA, MS 39657-0581
(601) 600-1069
(601) 600-1069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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