Organization
B1 NURSING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAKEBA C WHITE (OWNER/DIRECTOR)
(601) 307-5888
Entity
Organization
Contact information
Practice address
208 BOXWOOD CIR, BRANDON, MS 39047-8006
(601) 307-5888
Mailing address
208 BOXWOOD CIR, BRANDON, MS 39047-8006
(601) 307-5888
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
P324428
MS
385H00000X
Respite Care
—
—
Other
Enumeration date
11/16/2011
Last updated
01/13/2016
Update your record
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