Christian Fellowship Home
NPI #1689933764 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1689933764
- Entity Type
- Organization
- Organization Name
- Christian Fellowship Home
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 10, 2012
- Last Updated
- May 10, 2012
Practice Location
- Address
- 918 PARKWAY DR
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-8750
- Phone
- (601) 928-1871
Authorized Official
- Name
- MRS. TERRELL BERRY BOONE, LPN
- Title
- OWNER
- Phone
- (601) 928-1871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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