Specialty Healthcare
NPI #1952695256 in Raymond, Mississippi
Provider Information
- NPI Number
- 1952695256
- Entity Type
- Organization
- Organization Name
- Specialty Healthcare
- Primary Specialty
- Nursing Care
- Enumeration Date
- Jun 3, 2011
- Last Updated
- Jun 3, 2011
Practice Location
- Address
- 16 LAKEVIEW DR
- City
- Raymond
- State
- Mississippi
- ZIP Code
- 39154-7614
- Phone
- (601) 613-2666
Authorized Official
- Name
- MRS. KAKEYLA SHARELLE MANNING, LPN
- Title
- OWNER
- Phone
- (601) 613-2666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Nursing Care |
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