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Contact Information

GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
410 MASONIC DRIVE
CLINTON, MS39056
 Phone: 601-488-4027
 Fax: 601-488-4128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE LLC · (Female)

NPI # 1790835635
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2007
Last updated 12/18/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 07680072
  • MS Medicaid 08778761
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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