Organization
KMS HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA LATASHA SHEPARD RN (CEO)
(662) 721-8036
Entity
Organization
Contact information
Practice address
103 COURT ST, SUITE 116, CLEVELAND, MS 38732
(662) 721-8267
(662) 846-8937
Mailing address
PO BOX 1454, CLEVELAND, MS 38732
(662) 721-8267
(662) 846-8937
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R874602
MS
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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