Provider Demographics
NPI:1407470321
Name:GOD'S GIFTS, LLC
Entity Type:Organization
Organization Name:GOD'S GIFTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIECA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-540-0725
Mailing Address - Street 1:PO BOX 68934
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39286-8934
Mailing Address - Country:US
Mailing Address - Phone:601-540-0725
Mailing Address - Fax:767-524-4426
Practice Address - Street 1:635 NAKOMA DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-3335
Practice Address - Country:US
Practice Address - Phone:601-540-0725
Practice Address - Fax:769-524-4426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health