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Organization

MISSISSIPPI STATE DEPARTMENT OF HEALTH

Active
Other names
Southwest Home Health Agency 7C
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELANIE BOWMAN RN (DIRECTOR OF HOME HEALTH)
(601) 576-7853
Entity
Organization

Contact information

Practice address
1130 NORTH PARK AVE, MAGNOLIA, MS 39682
(601) 684-4294
(601) 249-0421
Mailing address
1130 NORTH PARK AVE, MAGNOLIA, MS 39682
(601) 684-4294
(601) 249-0421

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9281
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00070500
MS
Enumeration date
12/14/2005
Last updated
07/25/2008
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