NPI 1114260882
Garden of Angels LLC
Practice location
- Address
- 4807 N State St STE 406, Jackson, MS 39206-4826
- Phone
- (601) 982-3555
- Fax
- (601) 982-3557
Authorised official
- Name
- Tricia Duncan
- Title
- Biller
- Phone
- (601) 878-6945
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1114260882
- Entity type
- Organization
- NPI issued
- 1 Apr 2013
- Record last updated
- 1 Apr 2013
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.