Whalio Doctors

NPI 1033883855

Common Care Homes LLC

Organisation Community/Behavioral Health Agency Jackson, MS

Practice location

Address
5328 Hartsdale Dr, Jackson, MS 39211-4001
Phone
(832) 492-8311

Authorised official

Name
Jeremy Steele
Title
Ceo
Phone
(832) 492-8311

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1033883855
Entity type
Organization
NPI issued
4 Aug 2021
Record last updated
4 Mar 2022

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.