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Organization
AMEDISYS MISSISSIPPI, LLC
Active
Organization
AMEDISYS MISSISSIPPI, LLC
Active
Parent organization
AMEDISYS MISSISSIPPI, LLC
Other names
Amedisys Home Health of Pascagoula
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMEDISYS MISSISSIPPI, LLC
Authorized official
PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
2012 HIGHWAY 90, GAUTIER, MS 39553-5306
(228) 696-0336
(228) 696-0298
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9595
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770086
—
MS
01
—
07626363
HOMEMAKER SERVICES
MS
Enumeration date
02/04/2010
Last updated
09/29/2016
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