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Organization

CARING STARTS HERE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN THOMSEN JR. (PRESIDENT)
(601) 909-4060
Entity
Organization

Contact information

Practice address
705B S MAIN ST, PETAL, MS 39465-2263
(601) 909-6040
Mailing address
75 REDFERN TRL, PETAL, MS 39465-2672

Taxonomy

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

Other

Enumeration date
07/06/2016
Last updated
07/06/2016
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