Student Advocacy &family Engagement
In Home Supportive Care Agency in Jackson, MS(View on Map)
Legal Business Name
Student Advocacy &family Engagement
NPI Number
1689421869
NPI Type
Organization
Enumeration Date
05/04/2024
Specialties
(Taxonomies)Name
Code
253Z00000X
310400000X
3104A0625X
172V00000X
251S00000X
252Y00000X
251300000X
177F00000X
276400000X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
554 BROADMOOR DR
554 BROADMOOR DR
City
Jackson
Jackson
State
MS
MS
Postal Code
39206-4834
39206-4834
Country
US
US
Telephone Number
(601) 454-9990
(601) 454-9990
Authorized Official
Name
Tiffani Watts
Title or Position
CHEIF EXECUTIVE OFFICER
Telephone Number
(601) 454-9990
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/06/2024
Provider Address
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