Organization
TOUCH OF GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA LA'TASHA REVELS (CNA)
(601) 483-4173
Entity
Organization
Contact information
Practice address
534 PIPPINS RD, MERIDIAN, MS 39301-9567
(601) 483-4173
Mailing address
534 PIPPINS RD, MERIDIAN, MS 39301-9567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
19597
MS
Other
Enumeration date
02/25/2010
Last updated
03/02/2010
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