Organization
TRADITION HOME CARE LLC
Active
Other names
Tradition Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON RUSSELL (CHIEF EXECUTIVE OFFICER)
(601) 583-9401
Entity
Organization
Contact information
Practice address
713 RONIE ST, SUITE C, HATTIESBURG, MS 39401-4345
(601) 583-9401
Mailing address
713 RONIE ST, SUITE C, HATTIESBURG, MS 39401-4345
(601) 583-9401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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