| NPI | 1376152512 |
|---|---|
| Doing Business As | VISITING ANGELS JACKSON |
| Entity Type | Organization |
| Authorized Contact | CLIFTON REESE DANIELS Executive Director 601-500-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2023-11-17 |