Organization
SOUTH MISSISSIPPI HOME HEALTH, INC. REGION III DBA DEACONESS HOMECARE
Active
Other names
Deaconess HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY C JAKUS RN, BSN, MBA (VICE PRESIDENT OF OPERATIONS)
(601) 268-1842
Entity
Organization
Contact information
Practice address
307 W MINNESOTA PARK RD, HAMMOND, LA 70403-6148
(985) 429-1380
(985) 429-1344
Mailing address
PO BOX 16929, HATTIESBURG, MS 39404-6929
(601) 268-1842
(601) 268-7898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1007
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1406732
—
LA
Enumeration date
10/26/2005
Last updated
08/22/2020
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