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)
(334) 872-6637
Entity
Organization
Contact information
Practice address
200 CENTRAL PARK PL, SELMA, AL 36701-7735
(334) 872-6637
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
01
—
51046989
G2
—
01
—
58-1984959
G2
—
Enumeration date
07/05/2006
Last updated
09/03/2022
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