Organization
BTECH INC
Active
Other names
Emmanuel Ridge Hospice Ministry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEATRICE A EZEM RN, CM, CLNC (PRESIDENT,CEO)
(601) 927-9839
Entity
Organization
Contact information
Practice address
2990 HIGHWAY 49 S, SUITE P, FLORENCE, MS 39073-9522
(601) 845-3544
(601) 845-2095
Mailing address
2990 HIGHWAY 49 S, SUITE P, FLORENCE, MS 39073-9522
(601) 845-3544
(601) 845-2095
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04036718
—
MS
01
—
18216
PHYSICIAN
MS
01
—
R772161
FNP RN #
MS
Enumeration date
02/20/2007
Last updated
04/02/2009
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