Carissa Grace Group Home Inc.
NPI #1336012798 in Greenville, Mississippi
Provider Information
- NPI Number
- 1336012798
- Entity Type
- Organization
- Organization Name
- Carissa Grace Group Home Inc.
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Sep 24, 2025
- Last Updated
- Sep 24, 2025
Practice Location
- Address
- 334 FAIRVIEW AVE
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38701-4882
- Phone
- (662) 822-3102
Authorized Official
- Name
- STEPHANIE LAVERN HENDRIX
- Title
- OWNER
- Phone
- (662) 822-3102
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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