Healthcare Provider Details

I. General information

NPI: 1649932872
Provider Name (Legal Business Name): VERSATILE SOLUTIONS & LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3804 JODY ST
MOSS POINT MS
39562-8246
US

IV. Provider business mailing address

3804 JODY ST
MOSS POINT MS
39562-8246
US

V. Phone/Fax

Practice location:
  • Phone: 228-213-0229
  • Fax:
Mailing address:
  • Phone: 228-213-0229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: SARAH CREAR
Title or Position: OWNER
Credential:
Phone: 228-213-0229