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Organization
EMMANUEL RIDGE HOME CARE AGENCY INC
Active
Organization
EMMANUEL RIDGE HOME CARE AGENCY INC
Active
Other names
Emmanuel Ridge Homemaker Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEATRICE A EZEM RN, CM, CLNC (PRESIDENT/CEO)
(601) 927-9839
Entity
Organization
Contact information
Practice address
2073 HIGHWAY 49 S, FLORENCE, MS 39073-9422
(601) 709-3304
(601) 709-3307
Mailing address
2073 HIGHWAY 49 S, FLORENCE, MS 39073-9422
(601) 709-3304
(601) 709-3307
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
03630719
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03630719
—
MS
Enumeration date
01/03/2008
Last updated
01/03/2008
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