Provider Demographics
NPI:1861828014
Name:COMPRHENSIVE NATIONAL RECOVERY SYSTEMS OF MISSISSIPPI
Entity Type:Organization
Organization Name:COMPRHENSIVE NATIONAL RECOVERY SYSTEMS OF MISSISSIPPI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:CHRISTOPHE
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:773-977-4634
Mailing Address - Street 1:657 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-4160
Mailing Address - Country:US
Mailing Address - Phone:601-307-7944
Mailing Address - Fax:
Practice Address - Street 1:657 W 4TH ST
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-4160
Practice Address - Country:US
Practice Address - Phone:601-307-7944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care