Organization
CARING HANDS PPEC OF VICKSBURG
Active
Organization
CARING HANDS PPEC OF VICKSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBIE CLARK RN (OWNER, RN)
(318) 323-1930
Entity
Organization
Contact information
Practice address
3419 WISCONSIN AVE, VICKSBURG, MS 39180-5330
(601) 629-0505
(601) 629-0502
Mailing address
PO BOX 2403, MONROE, LA 71207-2403
(318) 323-1930
(318) 323-1013
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005574549
—
MS
Enumeration date
02/25/2016
Last updated
03/03/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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