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Organization
BEWISE HEALTH AGENCY
Active
Organization
BEWISE HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTORIA JOHNSON (PRESIDENT)
(601) 715-9111
Entity
Organization
Contact information
Practice address
1003 EASTVIEW ST, JACKSON, MS 39203-3119
(601) 715-9111
Mailing address
PO BOX 297, CLINTON, MS 39060-0297
(601) 715-9111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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