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Organization
JAMES WILKES BRADHAM INC
Active
Organization
JAMES WILKES BRADHAM INC
Active
Other names
RIGHT AT HOME OF NORTH MS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILKES BRADHAM (OWNER)
(662) 621-9898
Entity
Organization
Contact information
Practice address
130 DESOTO AVE, SUITE 10, CLARKSDALE, MS 38614-4439
(662) 621-9898
Mailing address
130 DESOTO AVE, SUITE 10, CLARKSDALE, MS 38614-4439
(662) 621-9898
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07259241
—
MS
05
—
09423231
—
MS
Enumeration date
10/24/2016
Last updated
10/24/2016
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