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Individual

DOROTHY JEANETTE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1004 COLLEGE ST, PORT GIBSON, MS 39150-2434
(601) 437-3524
(601) 437-3570
Mailing address
1004 COLLEGE ST, PORT GIBSON, MS 39150-2434
(601) 437-3524
(601) 437-3570

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
385H00000X
Respite Care
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0070580
IN-HOME RESPITE
MS
05
00770582
HOMEMAKER
MS
Enumeration date
07/10/2007
Last updated
07/10/2007
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