Provider Demographics
NPI:1649603697
Name:ANOINTED PERSONAL CARE AND RESPITE SERVICES
Entity type:Organization
Organization Name:ANOINTED PERSONAL CARE AND RESPITE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-665-9008
Mailing Address - Street 1:PO BOX 720133
Mailing Address - Street 2:
Mailing Address - City:BYRAM
Mailing Address - State:MS
Mailing Address - Zip Code:39272
Mailing Address - Country:US
Mailing Address - Phone:601-665-9008
Mailing Address - Fax:601-345-8379
Practice Address - Street 1:3800 YARBRO ST APT 305
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-2119
Practice Address - Country:US
Practice Address - Phone:601-665-9008
Practice Address - Fax:601-345-8379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS385HOOOOOX385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care