| Common Care Homes Llc | |
|
625 Lakeland East Dr Ste E Flowood MS 39232-8817 | |
| (832) 492-8311 | |
| Not Available |
| Full Name | Common Care Homes Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 625 Lakeland East Dr Ste E, Flowood, Mississippi |
| Authorized Official Name and Position | Jeremy Steele (CEO) |
| Authorized Official Contact | 8324928311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Care Homes Llc 5328 Hartsdale Dr Jackson MS 39211-4001 Ph: (832) 492-8311 | Common Care Homes Llc 625 Lakeland East Dr Ste E Flowood MS 39232-8817 Ph: (832) 492-8311 |
| NPI Number | 1861131831 |
|---|---|
| Provider Enumeration Date | 05/30/2022 |
| Last Update Date | 05/30/2022 |
| Certification Date | 05/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861131831 | NPI | - | NPPES |
| 08329532 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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