Organization
JORDAN RIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA JORDAN (EXECUTIVE DIRECTOR)
(601) 341-0618
Entity
Organization
Contact information
Practice address
3069 HIGHWAY 51 MM, MCCOMB, MS 39648-5939
(601) 341-0618
Mailing address
3069 HIGHWAY 51 MM, MCCOMB, MS 39648-5939
(601) 341-0618
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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