Organization
180 INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE GARRETT (OWNER)
(662) 308-7020
Entity
Organization
Contact information
Practice address
52 WILLOW RIDGE DR, PONTOTOC, MS 38863-8950
(662) 308-7020
Mailing address
52 WILLOW RIDGE DR, PONTOTOC, MS 38863-8950
(662) 308-7020
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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