OrganizationActive
Independent Jobs 1, LLC
NPI 1740854975 · Custodial Care Facility · Picayune, MS
Provider details
- NPI number
- 1740854975
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Daiwana Certain, Owner(601) 347-2928
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
713 Charlotte Dr
Picayune, MS 39466-4903
Phone: (601) 347-2928
Approximate (ZIP-level) locationGet directions
Mailing address
713 Charlotte Dr
Picayune, MS 39466-4903
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-17
- Certified
- 2021-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.