OrganizationActive
Care at Home Mississippi
NPI 1003596008 · In Home Supportive Care Agency · Hattiesburg, MS
Provider details
- NPI number
- 1003596008
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Authorized official
- Tracy Jackson, Agency Manager/Owner
Practice location
7 Professional Pkwy Ste 101
Hattiesburg, MS 39402-2648
Phone: (847) 563-0295
Fax: (847) 563-3331
Mailing address
1810 Lake St
Evanston, IL 60201-4068
Registry dates
- Enumerated
- 2023-07-24
- Last updated
- 2023-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.