Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(601) 482-5055
Entity
Organization
Contact information
Practice address
2600 OLD NORTH HILLS ST, MERIDIAN, MS 39305-1600
(601) 482-5055
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
05
—
00770549
—
MS
Enumeration date
06/08/2009
Last updated
10/12/2023
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