Organization
ST. LUKE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN PRICE (CHIEF FINANCIAL OFFICER)
(601) 249-1807
Entity
Organization
Contact information
Practice address
210 STATE ST, MCCOMB, MS 39648-3939
(601) 249-4260
(601) 249-4292
Mailing address
PO BOX 1103, P. O. BOX 1103, MCCOMB, MS 39649-2735
(601) 249-4260
(601) 249-4292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6081
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070219
BLUECROSSBLUESHIELD
MS
05
—
03927368
—
MS
Enumeration date
11/09/2006
Last updated
05/17/2017
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