Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Other names
Tombigbee Home Health Agency 4B
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P EDNEY MD, FACP (STATE HEALTH OFFICER)
(601) 576-7634
Entity
Organization
Contact information
Practice address
797 S JACKSON ST, ROUTE 1 BOX 1049, HOUSTON, MS 38851-7662
(662) 456-3791
(662) 456-3979
Mailing address
797 S JACKSON ST, ROUTE 1 BOX 1049, HOUSTON, MS 38851-7662
(662) 456-3791
(662) 456-3979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1381
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070500
—
MS
Enumeration date
11/29/2005
Last updated
06/30/2022
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