Organization
REAL SOLUTILONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICIA OVERTON DIXON (ADMINISTRATOR)
(601) 949-5693
Entity
Organization
Contact information
Practice address
831 HWY 80 W., JACKSON, MS 39204
(601) 949-5693
(601) 949-5695
Mailing address
831 HWY 80 W., JACKSON, MS 39204
(601) 949-5693
(601) 949-5695
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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