Organization
PORT CITY PERSONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTIE J PRUITT (OWNER)
(662) 580-5221
Entity
Organization
Contact information
Practice address
424 HIGHWAY 1 S, GREENVILLE, MS 38701-4901
(662) 580-5221
(662) 796-0611
Mailing address
424 HIGHWAY 1 S, GREENVILLE, MS 38701-4901
(662) 580-5221
(662) 796-0611
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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