Organization
INDEPENDENT JOBS 1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAIWANA D CERTAIN (OWNER)
(601) 347-2928
Entity
Organization
Contact information
Practice address
713 CHARLOTTE DR, PICAYUNE, MS 39466-4903
(601) 347-2928
Mailing address
713 CHARLOTTE DR, PICAYUNE, MS 39466-4903
(601) 347-2928
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/17/2021
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