Organization
MISSISSIPPI HOMECARE OF JACKSON II, LLC
Active
Other names
Mississippi HomeCare / Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1200 N STATE ST, SUITE 200, JACKSON, MS 39202-2000
(601) 352-5063
(601) 352-7098
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1294
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770125
—
MS
Enumeration date
08/28/2007
Last updated
07/12/2022
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