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Organization

LIVING GRACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE WYNN (OWNER)
(228) 369-5929
Entity
Organization

Contact information

Practice address
6016 SWITZER CV, OCEAN SPRINGS, MS 39564-2729
(228) 369-5929
Mailing address
6016 SWITZER CV, OCEAN SPRINGS, MS 39564-2729
(228) 369-5929

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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