Organization
INFINITY HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE MCDANIELS (ADMINISTRATOR)
(601) 665-4626
Entity
Organization
Contact information
Practice address
1042 PECAN PARK CIRCLE, JACKSON, MS 39209
(601) 665-4626
Mailing address
1042 PECAN PARK CIRCLE, JACKSON, MS 39209
(601) 665-4626
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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