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Organization
EP'S ON THE GO
Active
Organization
EP'S ON THE GO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MORGAN CCRP (EXERCISE PHYSIOLOGIST/CEO)
(601) 456-9894
Entity
Organization
Contact information
Practice address
5773 OLD CANTON RD, JACKSON, MS 39211-3202
(601) 456-9894
Mailing address
5773 OLD CANTON RD, JACKSON, MS 39211-3202
(601) 456-9894
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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