Organization
VENA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRINDA HUNTER (OWNER)
(601) 325-6558
Entity
Organization
Contact information
Practice address
305 N 40TH AVE, HATTIESBURG, MS 39401-6621
(601) 325-6558
Mailing address
305 N 40TH AVE, HATTIESBURG, MS 39401-6621
(601) 325-6558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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