SHANELL'S RESIDENTIAL CARE HOME INC. NPI 1528359189

NPI Information

SHANELL'S RESIDENTIAL CARE HOME, INC. is an assisted living facility in Jackson, MS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SHANELL'S RESIDENTIAL CARE HOME, INC. NPI is 1528359189. The provider is registered as an organization entity type.
The provider Is Doing Business As Shanell's Residential Care Home, Inc. (assistant Living).

The provider's business location address is:

4022 CALIFORNIA AVE
JACKSON, MS
ZIP 39213-513
Phone: (601) 362-4549

The provider's authorized official is Carnell Kitchens .
The authorized official title is President and has the following contact phone number (601) 259-4602.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 4/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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