Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Other names
ComfortCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T CANIZARO (VICE PRESIDENT/ CFO)
(601) 399-6139
Entity
Organization
Contact information
Practice address
2260 US HIGHWAY 15 NORTH, LAUREL, MS 39440-1521
(601) 425-7521
(601) 399-6274
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 425-7521
(601) 399-6274
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4081
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070006
BCBS HOME HEALTH AGENCY
MS
05
—
00070526
—
MS
Enumeration date
12/08/2005
Last updated
06/04/2014
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