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Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Other names
Tombigbee Home Health Agency 4B
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P EDNEY MD, FACP (STATE HEALTH OFFICER)
(601) 576-7634
Entity
Organization
Contact information
Practice address
797 S JACKSON ST, ROUTE 1 BOX 1049, HOUSTON, MS 38851-7662
(662) 456-3791
(662) 456-3979
Mailing address
797 S JACKSON ST, ROUTE 1 BOX 1049, HOUSTON, MS 38851-7662
(662) 456-3791
(662) 456-3979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1381
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070500
—
MS
Enumeration date
11/29/2005
Last updated
06/30/2022
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