Individual provider · Type 1 NPI
Beverly C. Johnson, MSW
Community Based Hospice Care Agency · Mound Bayou, MS
NPI number
1891137873
Active
Practice location
116 S Edward Avenue
Mound Bayou, MS 38762
Mailing address
114 Edward Avenue, Suite B
Mound Bayou, MS 38762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | MS68NHC (MS) |
Community Based Hospice Care Agency: Definition to come...
About NPI 1891137873
Beverly C. Johnson, MSW's National Provider Identifier is 1891137873, issued on Jul 19, 2013. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Mound Bayou, MS. The record was last updated on Jul 19, 2013.