Guardian Angel Homemaker Service | |
1192 Highway 13 S Morton MS 39117-7987 | |
(601) 732-8473 | |
(601) 732-8037 |
Full Name | Guardian Angel Homemaker Service |
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Speciality | Community/behavioral Health |
Location | 1192 Highway 13 S, Morton, Mississippi |
Authorized Official Name and Position | Paulette Butler (ADMINISTRATOR) |
Authorized Official Contact | 6017328473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Guardian Angel Homemaker Service 41 S Hall Rd Morton MS 39117-8057 Ph: (601) 732-8473 | Guardian Angel Homemaker Service 1192 Highway 13 S Morton MS 39117-7987 Ph: (601) 732-8473 |
NPI Number | 1932379096 |
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Provider Enumeration Date | 03/05/2008 |
Last Update Date | 03/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932379096 | NPI | - | NPPES |
04970592 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 04970592 (Mississippi) | Primary |