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Organization
NORTH SUNFLOWER MEDICAL CENTER HHA
Active
Organization
NORTH SUNFLOWER MEDICAL CENTER HHA
Active
Other names
Sunflower Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE DANIEL CEJA (CEO)
(662) 756-2711
Entity
Organization
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4676
(662) 756-2009
Mailing address
PO BOX 369, 840 NORTH OAK, RULEVILLE, MS 38771-0369
(662) 756-4676
(662) 756-2009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8581
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070109
BLUE CROSS BLUE SHIELD
MS
05
—
00070518
—
MS
Enumeration date
12/11/2006
Last updated
06/08/2020
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