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Organization
NURSETEL
Active
Organization
NURSETEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA ANN WHITE (AGENCY ADMINISTRATION)
(601) 210-1101
Entity
Organization
Contact information
Practice address
6380 U S HIGHWAY 98 STE 2, HATTIESBURG, MS 39402-8532
(601) 210-1101
(601) 210-1101
Mailing address
6380 U S HIGHWAY 98 STE 2, HATTIESBURG, MS 39402-8532
(601) 210-1101
(601) 210-1101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
314000000X
Skilled Nursing Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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