Organization
MERIDIAN HMA INC
Active
Other names
Riley Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
1504 20TH AVE, MERIDIAN, MS 39301-4124
(601) 484-3293
Mailing address
1504 20TH AVE, MERIDIAN, MS 39301-4124
(601) 484-3293
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070629
BLUE CROSS BLUE SHIELD MS
MN
05
—
00770267
—
MS
Enumeration date
06/16/2006
Last updated
02/18/2009
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