NPI 1154418481

Jeans Non Medical Care Respite

Organisation Respite Care Sledge, MS

Practice location

Address: 612 Broad Street 612, Sledge, MS 38270
Phone: (662) 382-8883
Fax: (662) 382-7776
Mailing address: 430 Williams Ave P. O. Box 72, Sledge, MS 38670

Authorised official

Name: Ozie D Phipps
Title: Ceo
Phone: (662) 382-8883

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

Other Respite Care providers in Mississippi →

Registry record

NPI: 1154418481
Entity type: Organization
NPI issued: 6 Oct 2006
Record last updated: 13 Dec 2007

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.