NPI 1700324613

Alluring Grace

Organisation Exclusive Provider Organization Hattiesburg, MS

Practice location

Address: 2501 W 7th St APT 806, Hattiesburg, MS 39401-3244
Phone: (601) 529-0910

Authorised official

Name: Victoria Shuntrell Jordan
Title: Community Support Specialist
Phone: (601) 529-0910

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Mississippi →

Registry record

NPI: 1700324613
Entity type: Organization
NPI issued: 10 Feb 2017
Record last updated: 10 Feb 2017

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.