Organization
HOME HEALTH CARE AFFILIATES OF MISSISSIPPI, INC.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(662) 327-9669
Entity
Organization
Contact information
Practice address
189 PARK CREEK DR, COLUMBUS, MS 39705-1308
(662) 327-9669
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
—
0770327
—
MS
Enumeration date
06/23/2005
Last updated
09/06/2022
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