Organization
HEAVEN CYNT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA L D MOORE (CEO)
(601) 398-1516
Entity
Organization
Contact information
Practice address
4632 N STATE ST, JACKSON, MS 39206-5433
(601) 668-6994
Mailing address
PO BOX 1076, CLINTON, MS 39060-1076
(601) 668-6994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
04/06/2015
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