Organization
BRANDON HMA INC
Active
Other names
Home Health Care of MS
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
395 CROSSGATES BLVD, BRANDON, MS 39042-2768
(601) 824-8501
Mailing address
350 CROSSGATES BLVD, BRANDON, MS 39042-2601
(601) 824-8501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770189
—
MS
Enumeration date
07/12/2006
Last updated
05/28/2008
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