Organization
PURITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVETTE FORTNER BUTLER PCA (MANAGER)
(601) 941-0556
Entity
Organization
Contact information
Practice address
109 EASTHAVEN DR, CLINTON, MS 39056-5319
(601) 941-0556
Mailing address
123A HIGHWAY 80 E STE 229, CLINTON, MS 39056-4738
(601) 941-0556
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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