NPI 1588076996

A Warm Home for Dad, LLC

Organisation Assisted Living Facility Jackson, MS

Practice location

Address: 1212 Forest Ave, Jackson, MS 39206-3219
Phone: (601) 919-7040
Mailing address: 1771 Hamilton Blvd, Jackson, MS 39213-7807

Authorised official

Name: Rutha Smith
Title: Owner/Administrator
Phone: (601) 919-7040

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1588076996
Entity type: Organization
NPI issued: 20 May 2014
Record last updated: 20 May 2014

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.