Organization
EMMANUEL RIDGE COMMUNITY SERVICE ORGANIZATION
Active
Organization
EMMANUEL RIDGE COMMUNITY SERVICE ORGANIZATION
Active
Other names
Emmanuel Ridge Senior Day Care Center
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
2073 HWY 49 SOUTH, FLORENCE, MS 39073-1944
(601) 709-3304
(601) 709-3307
Mailing address
2073 HIGHWAY 49 S, FLORENCE, MS 39073-9422
(601) 709-3304
(601) 709-3307
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08752218
—
MS
Enumeration date
01/03/2008
Last updated
01/03/2008
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