ELITE INDIGO

TERRY, MS
NPI1972120954
Entity TypeOrganization
Authorized ContactJAVARION TERRELL NIX
CEO/Director
432-978-6035
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2020-06-25
Last Update Date2020-06-25
Business Address
ELITE INDIGO
310 SEMINOLE CIR
TERRY, MS 39170-8787
Phone number: 432-978-6035
Mailing Address
ELITE INDIGO
310 SEMINOLE CIR
TERRY, MS 39170-8787
Phone number: 432-978-6035
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