Organization
BLUE RIVER HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE BLUE (CEO)
(601) 218-7880
Entity
Organization
Contact information
Practice address
2705 CLAY ST, VICKSBURG, MS 39183-3130
(601) 218-7880
Mailing address
PO BOX 820472, VICKSBURG, MS 39182-0472
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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