Individual
SHIRLEY MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BB KING RD, INDIANOLA, MS 38751-3606
(662) 887-3000
(662) 887-3500
Mailing address
1000 BB KING RD, INDIANOLA, MS 38751-3606
(662) 887-3000
(662) 887-3500
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1014
MS
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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