NPI 1033508809

Emmanuel Ridge Housing INC

Organisation Assisted Living Facility Louisville, MS

Practice location

Address: 803 W Main St, Louisville, MS 39339-2539
Phone: (662) 705-5031
Fax: (662) 705-5034
Mailing address: 750 Boling St Suite H, Jackson, MS 39209-2652

Authorised official

Name: Beatrice a Ezem
Title: Ceo
Phone: (601) 927-9839

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Mississippi →

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Mississippi →

Registry record

NPI: 1033508809
Entity type: Organization
NPI issued: 17 Jan 2015
Record last updated: 17 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.