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Maketta Jennings
Mobile Radiology Clinic/Center in Vicksburg, Mississippi
NPI 1720551740

Maketta Jennings is a Mobile Radiology Clinic/Center based in Vicksburg, MS and is specialized in Radiology, Mobile. Maketta Jennings practices in Vicksburg, MS. The NPI Number for Maketta Jennings is 1720551740 and holds a License No. (Mississippi).

The current practice location address for Maketta Jennings is 8677 Halls Ferry Rd, Vicksburg, MS and can be reached out via phone at 601-618-8632. You can also correspond with Maketta Jennings through the mailing address at 2160 S FRONTAGE RD APT 17D, VICKSBURG, MS - 39180-5181 (mailing address contact number: 601-618-8632).

Location: 8677 Halls Ferry Rd, Vicksburg, MS, 39180-5181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720551740
Provider Name
Maketta Jennings
Credential
Provider Entity Type
Individual
Gender
Female
Address
8677 Halls Ferry Rd, Vicksburg, MS, 39180-5181
Phone Number
601-618-8632
Fax Number
Provider Enumeration Date
01/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8677 Halls Ferry Rd
City
Vicksburg
State
Mississippi
Zip
39180-7047
Phone Number
601-618-8632
Fax Number
person
Provider Business Mailing Address Details
Address
8677 Halls Ferry Rd
City
Vicksburg
State
Mississippi
Zip
39180-7047
Phone Number
601-618-8632
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
(Mississippi)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile
Taxonomy
261QR0208X
License No.
(Mississippi)
Definition
Definition to come...
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