Organization
OB SOLUTION LLC
Active
Organization
OB SOLUTION LLC
Active
Other names
OB Solution
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE FELICE BLANCO (CLINIC ADMINISTRATOR)
(601) 829-4730
Entity
Organization
Contact information
Practice address
1855 LAKELAND DRIVE, STE M10, JACKSON, MS 39216
(601) 829-4730
(601) 213-5009
Mailing address
1855 LAKELAND DRIVE, STE M10, JACKSON, MS 39216
(601) 829-4730
(601) 213-5009
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
R805546
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73014104
BLUECROSS OF ALABAMA
AL
Enumeration date
02/22/2006
Last updated
01/29/2008
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