Organization
GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
Active
Other names
GENA'S FOUR SEASONS
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIAETTE HARRIS (ADMINISTRATOR)
(601) 488-4027
Entity
Organization
Contact information
Practice address
410 MASONIC DRIVE, CLINTON, MS 39056
(601) 488-4027
(601) 488-4128
Mailing address
PO BOX 374, CLINTON, MS 39060
(601) 488-4027
(601) 488-4128
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07680072
—
MS
05
—
08778761
—
MS
Enumeration date
01/11/2007
Last updated
12/18/2018
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