Kingdom House LLC
NPI #1336759018 in Magnolia, Mississippi
Provider Information
- NPI Number
- 1336759018
- Entity Type
- Organization
- Organization Name
- Kingdom House LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Aug 6, 2020
- Last Updated
- Aug 6, 2020
Practice Location
- Address
- 309 E BAY ST
- City
- Magnolia
- State
- Mississippi
- ZIP Code
- 39652-2815
- Phone
- (601) 783-0154
Authorized Official
- Name
- REGINA MEDIOUS
- Title
- OWNER/PRESIDENT
- Phone
- (601) 783-0154
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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