Organization
STA-HOME HEALTH AGENCY OF GREENWOOD, INC.
Active
Other names
AccentCare Home Health of Greenwood
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER SISCEL (VP LEGAL)
(662) 453-8420
Entity
Organization
Contact information
Practice address
205 WALTHALL ST, GREENWOOD, MS 38930-4428
(601) 956-5100
Mailing address
17855 DALLAS PKWY STE 200, DALLAS, TX 75287-6857
(972) 201-3819
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11095
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770110
—
MS
Enumeration date
02/09/2007
Last updated
05/02/2024
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