Organization
GENUINE CARE
Active
Organization
GENUINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA HAILES (OWNER)
(601) 410-5836
Entity
Organization
Contact information
Practice address
212 MAIN STREET, STATE LINE, MS 39362
(601) 410-5836
(888) 449-9560
Mailing address
1507 HARDY ST STE 201, HATTIESBURG, MS 39401-4978
(601) 410-5836
(888) 449-9560
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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