NPI 1104074228
Ebenezer Home Care LLC
Practice location
- Address
- 1189 Main St, Tunicia, MS 38676
- Phone
- (662) 363-0102
- Fax
- (662) 363-0103
Authorised official
- Name
- Rodney Hibbler
- Title
- Administrator/Ceo
- Phone
- (662) 541-5009
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1104074228
- Entity type
- Organization
- NPI issued
- 3 Sep 2008
- Record last updated
- 22 Sep 2008
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.