Organization
JAMES WILKES BRADHAM INC
Active
Other names
RIGHT AT HOME OF NORTH MS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILKES BRADHAM (OWNER)
(662) 621-9898
Entity
Organization
Contact information
Practice address
130 DESOTO AVE, SUITE 10, CLARKSDALE, MS 38614-4439
(662) 621-9898
Mailing address
130 DESOTO AVE, SUITE 10, CLARKSDALE, MS 38614-4439
(662) 621-9898
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07259241
—
MS
05
—
09423231
—
MS
Enumeration date
10/24/2016
Last updated
10/24/2016
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