Organization
NORTH SUNFLOWER MEDICAL CENTER HHA
Active
Other names
Sunflower Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE DANIEL CEJA (CEO)
(662) 756-2711
Entity
Organization
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4676
(662) 756-2009
Mailing address
PO BOX 369, 840 NORTH OAK, RULEVILLE, MS 38771-0369
(662) 756-4676
(662) 756-2009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8581
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070109
BLUE CROSS BLUE SHIELD
MS
05
—
00070518
—
MS
Enumeration date
12/11/2006
Last updated
06/08/2020
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