Organization
KLM HEALTHCARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA RUTH GREEN RN (CHIEF EXECUTIVE OFFICER)
(601) 842-1685
Entity
Organization
Contact information
Practice address
4807 N STATE ST, SUITE 402, JACKSON, MS 39206-4826
(601) 362-7690
(601) 362-7691
Mailing address
4807 N STATE ST, SUITE 402, JACKSON, MS 39206-4826
(601) 362-7690
(601) 362-7691
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
R804231
MS
251S00000X
Community/Behavioral Health Agency
Primary
R804231
MS
251T00000X
PACE Provider Organization
R804231
MS
385H00000X
Respite Care
R804231
MS
Other
Enumeration date
01/18/2007
Last updated
09/11/2025
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