Organization
P-CARES MEDICAL SUPPLIES, LLC
Active
Parent organization
ONE LOVE INDEPENDENT LIVING
Other names
One Love Independent Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONE LOVE INDEPENDENT LIVING
Authorized official
MR. ALFORD PERRYMAN (CEO / DIRECTOR)
(601) 786-0888
Entity
Organization
Contact information
Practice address
3476 RIVER RD, FAYETTE, MS 39069-4602
(601) 597-4840
Mailing address
3476 RIVER RD, FAYETTE, MS 39069-4602
(601) 597-4840
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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