NPI 1235513714

Hands of Goddess

Organisation Point of Service Crystal Springs, MS

Practice location

Address: 208 E Georgetown St, Crystal Springs, MS 39059-2517
Phone: (601) 308-5150
Fax: (601) 308-5157

Authorised official

Name: Jekory Juante Jefferson
Title: President/Ceo
Phone: (601) 316-0156

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence R603643 (MS)

Other Point of Service providers in Mississippi →

Registry record

NPI: 1235513714
Entity type: Organization
NPI issued: 15 Jul 2015
Record last updated: 15 Jul 2015

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.