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Organization
AMEDISYS MISSISSIPPI, LLC
Active
Organization
AMEDISYS MISSISSIPPI, LLC
Active
Other names
Adoration Home Health, Amedisys Home Health of Vicksburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
2080 S FRONTAGE RD, SUITE 105, VICKSBURG, MS 39180-5328
(601) 619-3670
(601) 619-3672
Mailing address
2080 S FRONTAGE RD STE 105, VICKSBURG, MS 39180-5882
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7394
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770548
—
MS
Enumeration date
05/04/2006
Last updated
08/31/2026
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