Organization
HUMANA HEALTH AID, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JP DEJOUBNER (OWNER)
(404) 977-1057
Entity
Organization
Contact information
Practice address
418 SECURITY SQ, GULFPORT, MS 39507-1952
(404) 977-1057
Mailing address
2953 BIENVILLE BLVD STE 282, OCEAN SPRINGS, MS 39564-4305
(404) 977-1057
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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