TJ3AM3

VICKSBURG, MS
NPI1912179078
Entity TypeOrganization
Authorized ContactMICHELLE L HAWKINS
R.N. Sole Proprietor
601-638-6262
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: MS  R870313)
Additional Taxonomies251G00000X Hospice Care, Community Based
(Licence: MS  R870313)
Enumeration Date2008-03-28
Last Update Date2008-03-28
Business Address
TJ3AM3
104 GREENVIEW DR
VICKSBURG, MS 39183-9003
Phone number: 601-638-6262
Mailing Address
TJ3AM3
104 GREENVIEW DR
VICKSBURG, MS 39183-9003
Phone number: 601-638-6262