Organization · Type 2 NPI

Tj3am3

Home Health Agency · Vicksburg, MS

NPI number 1912179078 Active

Practice location

104 Greenview Dr
Vicksburg, MS 39183-9003

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XR870313 (MS)
Community Based Hospice Care Agency 251G00000XR870313 (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 1912179078

Tj3am3's National Provider Identifier is 1912179078, issued on Mar 28, 2008. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Vicksburg, MS. The record was last updated on Mar 28, 2008.