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Organization
SOUTHWEST DEVELOPMENT CORPORATION, INC.
Active
Organization
SOUTHWEST DEVELOPMENT CORPORATION, INC.
Active
Other names
Medgar Evers Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T. IRVING (ADMINISTRATOR)
(601) 786-3955
Entity
Organization
Contact information
Practice address
210 GILCHRIST STREET, FAYETTE, MS 39069-0699
(601) 786-3955
(601) 786-9814
Mailing address
PO BOX 699, FAYETTE, MS 39069-0699
(601) 786-3955
(601) 786-9814
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7181
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770119
—
MS
01
—
00770619
HOMEMAKERS SERVICES
MS
Enumeration date
10/19/2006
Last updated
06/10/2009
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