Organization
STAY HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MCCULLUM JD (CO-OWNER)
(202) 322-1717
Entity
Organization
Contact information
Practice address
948 TYLER ST, PEARL, MS 39208-9625
(662) 769-5826
Mailing address
400 M ST SE APT 424, WASHINGTON, DC 20003-3419
(202) 322-1717
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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