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1770005837
HEAVENLY IN HOMECARE LLC
QUITMAN, MS
NPI
1770005837
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Entity Type
Organization
Authorized Contact
CHARLENE KELLY
Administrator
601-274-2368
Organization Subpart ?
No
Primary Taxonomy
385H00000X Respite Care
Enumeration Date
2017-07-11
Last Update Date
2017-07-11
Business Address
HEAVENLY IN HOMECARE LLC
109 E DONALD ST STE 8
QUITMAN, MS 39355-2310
Phone number: 601-274-2368
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Mailing Address
HEAVENLY IN HOMECARE LLC
109 E DONALD ST STE 8
QUITMAN, MS 39355-2310
Phone number:
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