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Organization
HERITAGE HOME HEALTH AGENCY
Active
Organization
HERITAGE HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY Q ANDERSON (DIRECTOR)
(601) 981-5973
Entity
Organization
Contact information
Practice address
931 HIGHWAY 80 W, SUITE 216, JACKSON, MS 39204-3912
(601) 981-5973
(601) 713-2437
Mailing address
931 HIGHWAY 80 W, SUITE 216, JACKSON, MS 39204-3912
(601) 981-5973
(601) 713-2437
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00425253
—
MS
05
—
00770538
—
MS
Enumeration date
06/20/2007
Last updated
08/22/2020
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