Organization
COVENANT CAREGIVERS OF HATTIESBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DAVIS (OWNER)
(601) 966-7162
Entity
Organization
Contact information
Practice address
201 S 27TH AVE STE 30, HATTIESBURG, MS 39401-7168
(601) 856-5660
(601) 856-5709
Mailing address
PO BOX 1481, MADISON, MS 39130-1481
(601) 856-5660
(601) 856-5709
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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