Southern Healthcare Agency, Inc., NPI 1336338763
Nursing Care Agency in Ridgeland, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1336338763
NPI Entity Type Organization
Provider Name Southern Healthcare Agency, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 301 New Pointe, Ridgeland, MS, US
Provider Mailing Address 301 New Pointe, Ridgeland, MS, US, 391573904
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MS. Jackie D. Mcmillan
Official Position CEO
Phone 601-933-0037

Primary Taxonomy

Taxonomy Code

251J00000X

Taxonomy Name Nursing Care Agency
Classification

Nursing Care

Group

Agencies

License No. 27 17 009C
License State MS
Description A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Business Address

Southern Healthcare Agency, Inc.
301 New Pointe

Ridgeland, MS, US

Phone: 601-933-0037
Fax: 601-932-8468

Mailing Address

Southern Healthcare Agency, Inc.
301 New Pointe
Ridgeland, MS, US
ZIP 391573904
Phone: 601-933-0037
Fax: 601-932-8468

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00770284 MS MEDICAID 05
00770283 MS MEDICAID 05
00118933 MS MEDICAID 05

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