Organization
HOME HEALTH CARE AFFILIATES OF MISSISSIPPI, INC.
Active
Parent organization
HOME HEALTH CARE AFFILIATES OF MISSISSIPPI, INC
Other names
CenterWell Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME HEALTH CARE AFFILIATES OF MISSISSIPPI, INC
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(662) 983-2273
Entity
Organization
Contact information
Practice address
200 S. PONTOTOC DRIVE, SUITE A, BRUCE, MS 38915-9533
(662) 983-2273
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070662
BLUE CROSS
MS
05
—
0770326
—
MS
Enumeration date
06/23/2005
Last updated
09/06/2022
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