Organization
MID-SOUTH HOME HEALTH, LLC
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(251) 316-0917
Entity
Organization
Contact information
Practice address
824 WESTERN AMERICA DR, MOBILE, AL 36609-4100
(251) 316-0917
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115209
—
AL
Enumeration date
10/08/2008
Last updated
09/03/2022
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