Organization Name: | CHRISTIAN SITTERS |
NPI Number: | 1124465547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOBBIE J BROWN (DIRECTOR) |
Mailing Address: | 5538 North State Street Ste 106 Jackson |
State: | MS US |
Postal Code: | 39206 |
Phone Number: | 6019822277 |
Fax Number: | 6019822162 |
NPI Enumeration Date: | 05/24/2013 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 08177766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |