NPI 1164964003

Creative Image Personal Care Service LLC

Organisation Respite Care Indianola, MS

Practice location

Address: 503 Highway 82 E, Indianola, MS 38751-2317
Phone: (662) 379-0238
Fax: (662) 887-8050
Mailing address: 216 French Rd, Indianola, MS 38751-9668

Authorised official

Name: Chandra Rena Thomas
Title: Ceo/Owner
Phone: (662) 379-0238

Registered specialties (2)

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 385H00000X-RESPITE (MS)

Other Respite Care providers in Mississippi →

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 311ZA0620X-ADULTCARE

Other Custodial Care Facility providers in Mississippi →

Registry record

NPI: 1164964003
Entity type: Organization
NPI issued: 9 Nov 2016
Record last updated: 9 Nov 2016

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.