NPI 1740854975

Independent Jobs 1, LLC

Organisation Custodial Care Facility Picayune, MS

Practice location

Address: 713 Charlotte Dr, Picayune, MS 39466-4903
Phone: (601) 347-2928

Authorised official

Name: Daiwana D Certain
Title: Owner
Phone: (601) 347-2928

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in Mississippi →

Registry record

NPI: 1740854975
Entity type: Organization
NPI issued: 12 May 2021
Record last updated: 17 May 2021

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.