SearchMississippiAdult Companion

Victor Smith, CEO/COO

NPI 1407220627 · on the registry since 2015

Practice

Address
121 Colonial Gln
Jackson, MS 39211
Phone
(601) 573-8651
Organisation at this address
Golden Years Adult Health Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Adult Companion
372600000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi