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Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Other names
Southwest Home Health Agency 7C
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE BOWMAN RN (DIRECTOR OF HOME HEALTH)
(601) 576-7853
Entity
Organization
Contact information
Practice address
1130 NORTH PARK AVE, MAGNOLIA, MS 39682
(601) 684-4294
(601) 249-0421
Mailing address
1130 NORTH PARK AVE, MAGNOLIA, MS 39682
(601) 684-4294
(601) 249-0421
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9281
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070500
—
MS
Enumeration date
12/14/2005
Last updated
07/25/2008
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