NPI 1477876530
Mick INC.
Practice location
- Address
- 334 Josanna Street Suite #209, Jackson, MS 39202
- Phone
- (601) 974-6085
- Fax
- (601) 974-6099
Authorised official
- Name
- Michael Grace
- Title
- Manager
- Phone
- (601) 974-6085
Registered specialties (2)
Case Management Agency
Primary
Attendant Care Provider
Registry record
- NPI
- 1477876530
- Entity type
- Organization
- NPI issued
- 3 Mar 2010
- Record last updated
- 27 Jun 2011
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.