Organization
ANOINTED PRIVATE DUTY HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA RIDEOUT (OWNER/DIRECTOR)
(601) 441-2481
Entity
Organization
Contact information
Practice address
11 N WATER ST FL 10, MOBILE, AL 36602-5010
(888) 509-7245
Mailing address
PO BOX 1300, COLUMBIA, MS 39429-1300
(888) 509-7245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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