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Organization
BOLIVAR COUNTY CAA
Active
Organization
BOLIVAR COUNTY CAA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE MEYER (FISCAL OFFICER)
(662) 846-1491
Entity
Organization
Contact information
Practice address
810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS 38732-2800
(662) 846-1491
(662) 843-0173
Mailing address
810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS 38732-2800
(662) 846-1491
(662) 843-0173
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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