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Organization

DANIEL HEALTH CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES C HOLLAND (VICE PRESIDENT)
(662) 862-2165
Entity
Organization

Contact information

Practice address
1905 S ADAMS ST, FULTON, MS 38843-8738
(662) 862-2165
(662) 862-2167
Mailing address
PO BOX 127, FULTON, MS 38843-0127
(662) 862-2165
(662) 862-2167

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
202
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080404
BLUE CROSS BLUE SHIELD MS
MS
05
00230144
MS
Enumeration date
06/21/2005
Last updated
11/18/2013
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