Organization
SOUTHWEST DEVELOPMENT CORPORATION, INC.
Active
Other names
Medgar Evers Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T. IRVING (ADMINISTRATOR)
(601) 786-3955
Entity
Organization
Contact information
Practice address
210 GILCHRIST STREET, FAYETTE, MS 39069-0699
(601) 786-3955
(601) 786-9814
Mailing address
PO BOX 699, FAYETTE, MS 39069-0699
(601) 786-3955
(601) 786-9814
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7181
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770119
—
MS
01
—
00770619
HOMEMAKERS SERVICES
MS
Enumeration date
10/19/2006
Last updated
06/10/2009
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