Organization
HEART OF GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY G WOOTEN JR. (ADMINISTRATOR)
(601) 564-1309
Entity
Organization
Contact information
Practice address
813 HIGHWAY 35 S, FOREST, MS 39074-4031
(601) 564-1309
(601) 287-8230
Mailing address
813 HIGHWAY 35 S, FOREST, MS 39074-4031
(601) 564-1309
(601) 287-8230
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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