MELISSA LYNN FORTENBERRY

MENDENHALL, MS
NPI1124636782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies372500000X Chore Provider
372600000X Adult Companion
385H00000X Respite Care
Enumeration Date2020-07-20
Last Update Date2020-11-19
Business Address
MELISSA LYNN FORTENBERRY
507 WALLACE ST
MENDENHALL, MS 39114-3807
Phone number: 769-229-1940
Mailing Address
MELISSA LYNN FORTENBERRY
507 WALLACE ST
MENDENHALL, MS 39114-3807
Phone number: 769-229-1940
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