# SOUTH MISSISSIPPI HOME HEALTH, INC. REGION III DBA DEACONESS HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess HomeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023008455
- **Authorized official:** MS. NANCY C JAKUS RN, BSN, MBA (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (601) 268-1842

## Contact information

- **Practice address:** 307 W MINNESOTA PARK RD, HAMMOND, LA 70403-6148
- **Practice address phone:** (985) 429-1380
- **Practice address fax:** (985) 429-1344
- **Mailing address:** PO BOX 16929, HATTIESBURG, MS 39404-6929
- **Mailing address phone:** (601) 268-1842
- **Mailing address fax:** (601) 268-7898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1007 | LA | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 08/22/2020