Private Home and Personal Care Service
NPI #1194901397 in Columbus, Mississippi
Provider Information
- NPI Number
- 1194901397
- Entity Type
- Organization
- Organization Name
- Private Home and Personal Care Service
- Primary Specialty
- Respite Care
- Enumeration Date
- Jan 17, 2008
- Last Updated
- Jan 17, 2008
Practice Location
- Address
- 53 FULGHAM DR
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-2829
- Phone
- (662) 904-1066
Authorized Official
- Name
- MS. LISA ANN FORTT
- Title
- OWNER
- Phone
- (662) 328-9862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
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