Organization
RIVER BEND SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN L STONE (VICE-PRESIDENT)
(601) 654-3941
Entity
Organization
Contact information
Practice address
3696 RIVER BEND ROAD, LENA, MS 39094
(601) 654-3941
(601) 654-3895
Mailing address
PO BOX 9, LUDLOW, MS 39098-0009
(601) 654-3941
(601) 654-3895
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770465
—
MS
05
—
00770520
—
MS
05
—
08682229
—
MS
Enumeration date
02/02/2012
Last updated
11/13/2012
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