| NPI | 1336256700 |
|---|---|
| Former Legal Business Name | FORREST GENERAL HOME CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES LARRY RUSSUM Assistant Director 601-288-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MS 4585) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MS 008) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-09-19 |