Organization
BRUSHA HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEULAH PATRICK (OWNER)
(601) 775-0264
Entity
Organization
Contact information
Practice address
150 WILLIS RD, FOREST, MS 39074-9046
(601) 775-0264
Mailing address
150 WILLIS RD, FOREST, MS 39074-9046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
956
MS
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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