Mid-South Personal Care Agency, LLC

NPI #1508482001 in Marion, Arkansas

Provider Information

NPI Number
1508482001
Entity Type
Organization
Organization Name
Mid-South Personal Care Agency, LLC
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Jun 19, 2020
Last Updated
Jun 19, 2020

Practice Location

Address
83 HARVARD RD
City
Marion
ZIP Code
72364-9738
Phone
(901) 462-1619

Authorized Official

Name
MRS. JERICA SMITH
Title
OWNER/CEO
Phone
(901) 462-1619

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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