Organization
NEVAEH HOSPICE
Active
Other names
Nevaeh Homemaker, Nevaeh Homemaker Service, Nevaeh Home Maker Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY C JOHNSON (ADMINISTRATOR)
(662) 719-2005
Entity
Organization
Contact information
Practice address
116 S EDWARD AVE., 116 S EDWARD AVE. SUITE B, MOUND BAYOU, MS 38762-0010
(662) 719-2005
(662) 741-2006
Mailing address
P.O. BOX 10, 1165 EDWARD AVE. SUITE B, MOUND BAYOU, MS 38762-0010
(662) 719-2005
(662) 741-2006
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/06/2022
Last updated
10/27/2022
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