NPI 1194901397

Private Home and Personal Care Service

Organisation Respite Care Columbus, MS

Practice location

Address: 53 Fulgham Dr, Columbus, MS 39705-2829
Phone: (662) 904-1066
Fax: (662) 328-9862
Mailing address: 53 Fulgham Dr P.O. Box 8553, Columbus, MS 39705-2829

Authorised official

Name: Lisa Ann Fortt
Title: Owner
Phone: (662) 328-9862

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

Other Respite Care providers in Mississippi →

Registry record

NPI: 1194901397
Entity type: Organization
NPI issued: 17 Jan 2008
Record last updated: 17 Jan 2008

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.