Organization
STATEWIDE HEALTHCARE SERVICES, INC
Active
Other names
Oxford Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY JENSEN (VICE PRESIDENT, OPERATIONS)
(312) 795-4683
Entity
Organization
Contact information
Practice address
3828 I 55 N, JACKSON, MS 39211-6324
(601) 214-2244
(601) 984-2586
Mailing address
1 N STATE ST STE 800, CHICAGO, IL 60602-3312
(312) 795-4683
(312) 701-1126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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