Organization
HEALTH CARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE HARDEN (PRESIDENT)
(601) 420-0064
Entity
Organization
Contact information
Practice address
625 S PEAR ORCHARD RD, SUITE A, RIDGELAND, MS 39157-4836
(601) 420-0064
Mailing address
625 S PEAR ORCHARD RD, SUITE A, RIDGELAND, MS 39157-4836
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
05882/2.5
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02736571
—
MS
Enumeration date
07/24/2015
Last updated
07/24/2015
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