Organization
EMANUEL UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENYON M ANDERSON MBA/HCM (AGENCY DIRECTOR)
(832) 498-5962
Entity
Organization
Contact information
Practice address
123 CARRIE AVE, CRYSTAL SPRINGS, MS 39059-2208
(832) 498-5962
Mailing address
123 CARRIE AVE, CRYSTAL SPRINGS, MS 39059-2208
(832) 498-5962
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MS
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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