NPI 1912179078

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Organisation Home Health Agency Vicksburg, MS

Practice location

Address: 104 Greenview Dr, Vicksburg, MS 39183-9003
Phone: (601) 638-6262

Authorised official

Name: Michelle L Hawkins
Title: R.N. Sole Proprietor
Phone: (601) 638-6262

Registered specialties (2)

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence R870313 (MS)

Other Home Health providers in Mississippi →

Community Based Hospice Care Agency

Agencies Taxonomy 251G00000X Licence R870313 (MS)

Other Hospice Care, Community Based providers in Mississippi →

Registry record

NPI: 1912179078
Entity type: Organization
NPI issued: 28 Mar 2008
Record last updated: 28 Mar 2008

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.