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Suppliers Home Delivered Meals

Provider NPI: 1811054307

Organization Information:
Organization is not Subpart
Authorized Official:  GLENN K BROWN  EXECUTIVE DIRECTOR  662-561-4100

Practice Location:
245 EUREKA ST # C  BATESVILLE, MS 38606-2625 US
Tel: 662-561-4100  Fax: --

Business Mailing Address:
Tel: 662-561-4100  Fax: 662-561-4112

NPI Information:
NPI: 1811054307
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Home Delivered Meals
X385H00000XRespite Care Facility
Respite Care

Other Provider Identifiers:



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