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Organization
ST. LUKE HOME HEALTH SERVICES, LLC
Active
Organization
ST. LUKE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN PRICE (CHIEF FINANCIAL OFFICER)
(601) 249-1807
Entity
Organization
Contact information
Practice address
210 STATE ST, MCCOMB, MS 39648-3939
(601) 249-4260
(601) 249-4292
Mailing address
PO BOX 1103, P. O. BOX 1103, MCCOMB, MS 39649-2735
(601) 249-4260
(601) 249-4292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6081
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070219
BLUECROSSBLUESHIELD
MS
05
—
03927368
—
MS
Enumeration date
11/09/2006
Last updated
05/17/2017
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