Garden of Angels LLC
NPI #1114260882 in Jackson, Mississippi
Provider Information
- NPI Number
- 1114260882
- Entity Type
- Organization
- Organization Name
- Garden of Angels LLC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Apr 1, 2013
- Last Updated
- Apr 1, 2013
Practice Location
- Address
- 4807 N STATE ST
- Address 2
- STE 406
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39206-4826
- Phone
- (601) 982-3555
Authorized Official
- Name
- TRICIA DUNCAN
- Title
- BILLER
- Phone
- (601) 878-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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