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Organization
AMELICARE
Active
Organization
AMELICARE
Active
Other names
AmeliCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANEQUA CAMPBELL (ADMINISTRATOR)
(662) 438-2099
Entity
Organization
Contact information
Practice address
1000 HIGHLAND COLONY PKWY STE 5203, RIDGELAND, MS 39157-2079
(980) 483-7745
Mailing address
12004 JOURNEYS END TRL, HUNTERSVILLE, NC 28078-2387
(980) 483-7745
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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