Organization
GENTLE TOUCH HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA GLADONDREIA RIDEOUT (OWNER/DIRECTOR)
(601) 554-0691
Entity
Organization
Contact information
Practice address
2103 W 4TH ST, HATTIESBURG, MS 39401-4702
(601) 554-0691
(601) 554-0690
Mailing address
2103 W 4TH ST, HATTIESBURG, MS 39401-4702
(601) 554-0691
(601) 554-0690
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
06932519
MS
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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