NPI 1003596008
Care at Home Mississippi
Practice location
- Address
- 7 Professional Pkwy STE 101, Hattiesburg, MS 39402-2648
- Phone
- (847) 563-0295
- Fax
- (847) 563-3331
- Mailing address
- 1810 Lake St, Evanston, IL 60201-4068
Authorised official
- Name
- Tracy Jackson
- Title
- Agency Manager/Owner
- Phone
- (847) 563-0295
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1003596008
- Entity type
- Organization
- NPI issued
- 24 Jul 2023
- Record last updated
- 24 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.