Organization
GREEN LEAF HOME CARE, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA C. WOODS (OWNER)
(662) 907-1200
Entity
Organization
Contact information
Practice address
2593 AIRDALE DR, GREENVILLE, MS 38703-1918
(662) 907-1200
Mailing address
2593 AIRDALE DR, GREENVILLE, MS 38703-1918
(662) 907-1200
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MS
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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