NPI 1174333884
Southern Grace Home Care
Practice location
- Address
- 12 Amur Ln, Hattiesburg, MS 39402-5510
- Phone
- (601) 447-1106
Authorised official
- Name
- Jomeka Lott
- Title
- Ceo
- Phone
- (601) 447-1106
Registered specialties (4)
Home Health Agency
Primary
In Home Supportive Care Agency
Non-emergency Medical Transport (VAN)
Respite Care
Registry record
- NPI
- 1174333884
- Entity type
- Organization
- NPI issued
- 14 Jan 2025
- Record last updated
- 14 Jan 2025
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.