Personal Care Home of Wiggins
NPI #1386950145 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1386950145
- Entity Type
- Organization
- Organization Name
- Personal Care Home of Wiggins
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Aug 30, 2010
- Last Updated
- Aug 30, 2010
Practice Location
- Address
- 918 PARKWAY DR
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-8750
- Phone
- (601) 928-4663
Authorized Official
- Name
- ANGELA C HARRIS
- Title
- OWNER/ADMINISTRATOR
- Phone
- (601) 325-4577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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