Provider Demographics
NPI:1396530648
Name:HOSPITALITY HOUSE PERSONAL CARE, LLC
Entity type:Organization
Organization Name:HOSPITALITY HOUSE PERSONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC
Authorized Official - Phone:662-423-8363
Mailing Address - Street 1:17 COUNTY ROAD 406
Mailing Address - Street 2:
Mailing Address - City:IUKA
Mailing Address - State:MS
Mailing Address - Zip Code:38852-8533
Mailing Address - Country:US
Mailing Address - Phone:662-423-8363
Mailing Address - Fax:
Practice Address - Street 1:1670 WHITEHOUSE RD
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-9013
Practice Address - Country:US
Practice Address - Phone:662-423-3307
Practice Address - Fax:662-423-3308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility