Provider Demographics
NPI:1821398389
Name:HOME MANAGEMENT HOME MAKER SERVICES
Entity Type:Organization
Organization Name:HOME MANAGEMENT HOME MAKER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SENTHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-827-2848
Mailing Address - Street 1:108 E SOUTH ST
Mailing Address - Street 2:P.O. BOX 351
Mailing Address - City:HOLLANDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38748-3834
Mailing Address - Country:US
Mailing Address - Phone:662-827-2848
Mailing Address - Fax:662-827-5766
Practice Address - Street 1:108 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:HOLLANDALE
Practice Address - State:MS
Practice Address - Zip Code:38748-3834
Practice Address - Country:US
Practice Address - Phone:662-827-2848
Practice Address - Fax:662-827-5766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care