Healthcare Provider Details

I. General information

NPI: 1922945856
Provider Name (Legal Business Name): CARE WELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 AVIGNON DR STE 4
RIDGELAND MS
39157-5157
US

IV. Provider business mailing address

750 AVIGNON DR STE 4
RIDGELAND MS
39157-5157
US

V. Phone/Fax

Practice location:
  • Phone: 601-919-5044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LATRICIA WILKERSON
Title or Position: OWNER
Credential:
Phone: 601-919-5044