Organization
MISSISSIPPI MEDICAL RELIEF CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYCHELL THOMAS LPN (OWNER)
(601) 790-9175
Entity
Organization
Contact information
Practice address
199 CHARMANT PL STE 3B, RIDGELAND, MS 39157-4358
(601) 790-9175
Mailing address
199 CHARMANT PL STE 3B, RIDGELAND, MS 39157-4358
(601) 790-9175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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