Organization
UBS CAREGIVER AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELOISE LUMPKIN (PRESIDENT)
(601) 693-1064
Entity
Organization
Contact information
Practice address
1123 24TH AVE, MERIDIAN, MS 39301-3923
(601) 693-1064
(601) 693-1094
Mailing address
1123 24TH AVE, MERIDIAN, MS 39301-3923
(601) 693-1064
(601) 693-1094
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770593
—
MS
Enumeration date
06/11/2009
Last updated
06/11/2009
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