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Carefree Living At Home LLC

In Home Supportive Care in Jackson, MS. Organization (NPI-2).

NPI number1104456979
StatusActive
Last updated in NPPESJan 21, 2020

Details

NPI
1104456979
Entity type
Organization (NPI-2)
Legal business name
Carefree Living At Home LLC
Organization subpart
No
Enumeration date
Jan 21, 2020
Certification date
Jan 21, 2020
Last updated
Jan 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

460 Briarwood Dr Ste 400-1010
Jackson, MS 39206-3051

Phone 601-301-9400 · Fax 601-368-8904

Mailing address

460 Briarwood Dr Ste 400-1010
Jackson, MS 39206-3051

Phone 601-618-3099

Authorized official

Angela Nichole Bailey
Patient Care Coordinator
6016183099

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