Organization
SOUTHERN GIRL HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LYNETTE MOBLEY (CEO)
(228) 215-1760
Entity
Organization
Contact information
Practice address
3712 OLD MOBILE AVE STE L, PASCAGOULA, MS 39581-3767
(228) 215-1760
Mailing address
3712 OLD MOBILE AVE STE L, PASCAGOULA, MS 39581-3767
(228) 215-1760
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/07/2025
Last updated
02/20/2025
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