Organization · Type 2 NPI

Mississippi State Department of Health

Home Health Agency · Magnolia, MS

NPI number 1295710135 Active

Practice location

1130 North Park Ave
Magnolia, MS 39682

Fax (601) 249-0421

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X9281 (MS)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1295710135

Mississippi State Department of Health's National Provider Identifier is 1295710135, issued on Dec 14, 2005. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Magnolia, MS. The record was last updated on Jul 25, 2008.