A Warm Home for Dad, LLC
Organization Active NPI Assisted Living Facility · Jackson, MS
NPI 1588076996 · NPPES record last updated May 20, 2014
Key facts
- NPI
- 1588076996
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- A WARM HOME FOR DAD, LLC
- Practice address
- 1212 Forest Ave
Jackson, MS 39206-3219 - Phone
- (601) 919-7040
- NPI assigned
- May 20, 2014
- Organization subpart
- No
Authorized official
- Name
- Miss Rutha Smith, R.N.
- Title
- Owner/Administrator
- Phone
- (601) 919-7040
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1212 Forest Ave
Jackson, MS 39206-3219
Mailing address
1771 Hamilton Blvd
Jackson, MS 39213-7807
Phone (601) 919-7040
Other providers in Jackson, MS
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- A.Terrel Williams, MD, PLLC
- A' Special Touch Home Health Care
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- A1Lifelift
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All providers in Jackson, MS · Assisted Living Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.