Organization
SOUTH MISSISSIPPI HOME HEALTH INC - REGION II
Active
Other names
Deaconess HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
105 WHITEBROOK DR, BROOKHAVEN, MS 39601-3367
(601) 835-1145
(601) 833-6273
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10595
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770063
—
MS
Enumeration date
10/26/2005
Last updated
04/03/2014
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