Organization
RURAL HEALTHCARE DEVELOPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELSTON C KEMP (CEO)
(662) 840-0196
Entity
Organization
Contact information
Practice address
2533 MAIN ST, PLANTERSVILLE, MS 38862-7907
(662) 840-0196
(662) 840-0198
Mailing address
2533 MAIN ST, PO BOX 489, PLANTERSVILLE, MS 38862-7907
(662) 840-0196
(662) 840-0198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
07341/11.1
MS
Other
Enumeration date
03/07/2007
Last updated
05/07/2013
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