Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Other names
Southeast Home Health Agency 8C
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE BOWMAN RN (DIRECTOR OF HOME HEALTH)
(601) 576-7853
Entity
Organization
Contact information
Practice address
503 MCINNIS AVE, LEAKESVILLE, MS 39451-0489
(601) 394-2694
(601) 394-2620
Mailing address
PO BOX 489, LEAKESVILLE, MS 39451-0489
(601) 394-2694
(601) 394-2620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3181
MS
Other
Enumeration date
12/14/2005
Last updated
07/14/2008
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